The development of more complex and diverse bunting weapons map result
in an increase of uncommon forms of penetrating injury to the brain.
We present a case of non-fatal transorbital arrow injury to the brain.
High velocity projectile injuries merit certain management adaptation
s from gunshot or low velocity stab wounds. This case highlights the n
ecessity for anterograde removal of the arrow in the direction of its
Line of trajectory. Early assessment of the patient with cerebral angi
ography to identify surgically correctable vascular injury is recommen
ded.