A rare case of deep penetration of skull base by an airgun pellet

Seemingly harmless low velocity weapons like air guns sometimes may cause deep penetration of tissues leading to serious disability or even death especially in children. Deep penetration is rare in adults. We present a case of penetration of anterior skull base by air gun pellet in an adult in whom the projectile could not be retrieved initially but became accessible for removal due to spontaneous expulsion after two years of injury. Relevant literature about etio pathogenesis and management of such cases is reviewed.