*2.2.4. MRI*

MRI is not used routinely as a diagnostic tool in these injuries. The main concern is potential migration of retained metal fragments that can further damage neurologic or other surrounding tissues. Other drawbacks are time, unavailability, and study quality in the presence of metal artifacts. On the contrary to its place in the acute setting, MRI has a major role in studying complications following the initial treatment. Patients who present with deteriorating neurological deficit, prolonged fever, CSF leak, or post-LP syndrome are expected to be further evaluated with an MRI.
