The most severe and fatal causes of traumatic brain injuries are penetrating head injuries. In this report, we describe a rare case of a 37-year-old male who presented with brain injury caused by a shovel handle which penetrated the infra orbital region, passed through the right hemisphere and exited from the occipital region. Our aim in reporting this rare case was to underline the importance of early imaging studies and to remind the emergency physicians of management of patients with head trauma.
Keywords: Penetrating head injuries, shovel stick, emergency