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What passed completely through Phineas Gage's skull in the 1848 accident he survived?

From the story
Phineas Gage, the Railroad Foreman Who Survived a 13-Pound Iron Rod Through His Skull in 1848

On 13 September 1848, a premature blast drove a 43-inch tamping iron through the skull of railroad foreman Phineas Gage at Cavendish, Vermont — in under his cheekbone, out the top of his head. He was speaking within minutes, lived another eleven and a half years, and became the most famous case in the history of neuroscience.

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