A 78-year-old woman presented to the Emergency Department with a tree branch through the orbit. Her condition was rated 15/15 on the Glasgow coma scale. Computed tomography showed that the distal extremity of the branch was located between the intracavernous segment of the internal carotid artery and the temporal lobe. The foreign body pushed aside without penetrating the medial rectus, the optic nerve, the internal carotid artery, and the temporal lobe. No intracranial bleeding or pneumencephaly was observed. The chirurgical option was confirmed and the patient transferred for extraction of the foreign body by traction in the axis.

Teaching Point: Neurotoxoplasmosis should be part of the differential diagnosis for single or multiple cerebral lesions in hematologic patients.