As demonstrated in various studies, with mortality and morbidity rates reaching 90%-100%, penetrating brain injuries are among the most devastating subjects of neurosurgery. Shell and sharapnell fragments are the most common cause of this type injuries; although rarely reported in "modern times", transcranial arrow injuries may also be the cause. In this report, a 37 year-old male patient, who was shot by an "arrow" accidentally, was evaluated regarding clinical presentation, treatment and clinical progress.