impacted foreign bodies rarely reach for surgery. Impacted object poses difficulties in the investigation and normal operating procedure. If the

impacted object is not removed carefully, it can cause further damage to the cerebral tissue or may lead to vascular injury. Here we report on one

such case of a 55 year old lady, who presented to casualty with history of a wooden log falling over the head due to collapse of the ceiling with the

log penetrating and impacting in the skull. The patient was investigated and taken up for surgery where careful removal of the impacted foreign

body was done. The patient had uneventful recovery and was ambulant and showing signs of improvement when discharged. Patient then

presented with delayed meningitis after 3 weeks and was treated conservatively and was discharged. The significance of penetrating injuries to the

head depends largely on the circumstances of the injury, the velocity of impact, and attributes of the projectile. While most penetrating head injuries

are caused by firearms, lower–velocity mechanisms of penetrating brain injury present unique challenges for the multidisciplinary team involved

with the delivery of care. Appropriate management can lead to optimal outcomes and limit secondary brain injury.