We reported a case of a 12-year-old girl child with an uncommon intracranial metallic foreign body who was hit by her younger sister with sickle that got stuck to skull. Patient presented to us with stuck sickle in her head and was fully conscious with complaint of headache. She was very much afraid of her injury and was screaming with pain and fear. There was no neurological weakness. Computed tomography scan revealed that metallic foreign body was located adjacent to the confluence of major sinuses posteriorly on her skull. The location and position of foreign body suggested that it was of low velocity, and was hit from pointed end of sickle. It was taken out after doing craniectomy all around the sickle point and dural tear was repaired with pericranium. The postoperative course was uneventful.

A 7-year-old male patient reported in our neurosurgery OPD with chief complaints of swelling in occipital region. The swelling was gradually increasing in size as per history given by patient's attendant. Antenatal and birth history was uneventful. Developmental milestones were normal. Ear examination showed left sided pre auricular tag. Hearing was normal. Eye examination showed right eye limbal dermoid. Limbs examination showed syndactyly of 5th finger. Cardiovascular, respiratory and oral examination was normal. His height and weight were within normal limit. Chest X-ray was normal. Skeletal survey did not show any vertebral deformities. The karyotype was normal. The MRI brain showed a defect of size 1.3 cm in the occipital region through which cerebellum was seen herniating. The mass was surrounded by hypodense collection with multiple thickened septae within suggestive of CSF collection with thickened meninges. Patient underwent surgery and cystic portion was removed, with preservation of the occipital and cerebellar parenchyma and closure of defect was done. Patient responded well that there were no post operative complications and child was discharged on the 10th postoperative day. Hence, based on clinical and radiographic findings, a diagnosis of Goldenhar syndrome was made.