A very rare case of penetrating iron rod injury to brain at work place. We report a rare case of perforating iron rod injury to brain, rarity due to its entry point and how it manage to enter in to the brain parenchyma and damaging motor cortex, and managed in time to save his life and give him good recovery. A 21 year old male working in building construction, and had fall from height on a 12mm iron rod and sustained iron rod injury, after 10 min he become unconscious and brought to casualty after 3 hours of injury. Due to his poor GCS(Glasgow coma scale) patient intubated and evaluated found to having penetrating head injury with right temporal and parietal intraparanchymal hematoma with significant mass effect, and emergency decompressive Craniectomy with hematoma evacuation with bone flap kept in abdominal parietal wall. After six months he underwent cranioplasty and hemi paresis improving.

Keywords: Penetrating head injury; Soft palate; Iron rod; Workplace.