We report the case of a neck-penetrating foreign body. An 81-year-old woman accidently stuck in the neck by a wooden chopstick was found in computed tomography (CT) to have a deep-neck abscess when admitted to the hospital. We incised and drained the abscess, but found no foreign body. Two weeks postoperatively, thin-slice CT and magnetic resonance imaging (MRI) showed the tip of the chopstick remaining in the neck and vertebral artery thrombosis. We removed the foreign body from the intervertebral foramen. After removal, paralysis remained in the segmental C5 areas, but no cerebral infarction occurred.