Intracranial foreign bodies caused by non-projectile metallic objects are rare. Long-standing cases have been seldom reported in the literature. The clinical presentation depends primarily on the location of the brain injury and the resulting intracranial vascular damage. CT scanning is the key diagnostic tool. Surgical removal of the foreign body is indicated to prevent or reduce secondary damage and late complications. Craniectomy is the optimal surgical approach for removing an intracranial foreign body with dural perforation. It allows for controlled surgery in case of hemorrhage. Postoperative monitoring assesses the patient's neurological status using the Glasgow Coma Scale (GCS). It also looks for signs of seizures, cerebrospinal fluid leaks, and infections. A follow-up brain CT scan should be performed within 72 hours to look for secondary complications such as hematoma in the surgical site.