Stab wounds of the skull are uncommon. They are usually accidental in
children. An apparently trivial wound may cause death due to vascular
damage or infection. A 8-year-old boy presented with a nail in the lef
t intraorbital region. He fell with a nail in his hand five hours prio
r to hospital admission. computed tomographic scans displayed the nail
penetrating the cranium through the left orbital roof and extending t
owards the left anterior clinoid process. The nail was removed under g
eneral anesthesia in the operating room. Meningitis developed two days
after the removal of the penetrating object and responded well to ant
ibiotics. The pertinent literature was reviewed.