Introduction: Penetrating traumatic brain injury are often the result of accidents, especially in children. These injuries can lead to morbidity depending on the anatomical area affected. We report management and outcomes of a pediatric case of penetrating traumatic brain injury.Methods: We describe a case of penetrating traumatic brain injury in a child following a farm shed fall managed in January 2022 at the neurosurgery department of the Regional University Hospital Center of Ouahigouya. Observation: The patient was a nine-year-old female child, admitted at the eighth hour following a penetrating traumatic brain injury without initial loss of consciousness, resulting from a farm shed fall. Local examination revealed a piece of wood embedded in the cranial box at the left frontal region. The initial neurological examination and laboratory values were normal. Cranioencephalic computed tomography revealed embedded bone fragments with a biconvex hyperdensity corresponding to an acute epidural hematoma, and an extra-cranial hypodensity with corresponding intracranial extension indicative of a piece of wood in the left frontal region. She received antibiotic therapy, underwent a craniotomy to circumscribe the foreign body with extraction, evacuation of an acute epidural hematoma, and repair of the dural breach. The postoperative course was uneventful. Conclusion: Penetrating traumatic brain injury caused by a wooden foreign body such as a piece of wood requires a precise assessment of the injuries before any extraction attempt.