A foreign object in the frontal lobe

: In this case report a 77-year-old male tumbled in his lavatory and hit his head against a toilet roll holder. The holder penetrated his eye and orbita and left a 0.5 × 1 cm cylindrical piece of plastic inside his frontal lobe. He was admitted at a neurosurgical department, where the foreign object was removed. In this report, we summarise some of the basic principles of handling patients with a penetrating brain trauma, including risk of infection, control of bleeding and technical considerations before surgically removing a foreign object.