Abstract
Abstract A 4-year-old boy with normal physical and mental development presented to the emergency room with minor head injury and skin laceration on the right frontal region following an accidental fall in a ditch while playing with other kids. At presentation, he had normal neurologic examination. The skull X-ray showed a 4.5 cm long sewing needle-like foreign body, which was later confirmed by cranial computed tomography scanning. There was no suspected entry at the corresponding location to suggest an acute penetrating injury. This object may have penetrated during early infanthood before closure of anterior fontanelle. A nonsurgical management was opted because there were no neurological complaints, even after a three-year follow-up.
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