Background: Penetrating craniovertebral junction (CVJ) injuries are rare. The mortality rate of these lesions is extremely high due to the complex anatomy of the region composed of a conglomerate of neurovascular structures. Case Description: The authors report an interesting case of a 32-year-old male patient presented with mild quadriparesis following stab wound inflicted by a rebar to the lateral left side of the CVJ. CT scan revealed metallic foreign body transgressing obliquely the brain stem before being stopped above and forward the right internal auditory canal. The patient was operated on in emergency and the weapon was carefully and totally removed. Hopefully, the follow-up was favorable and the patient’s quadriparesis improved subsequently. Conclusion: CVJ stab wound injuries represent unusual neurosurgical emergency.
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