Thyroid carcinoma with metastatic intracranial involvement is very rare. Intracranial metastases occur in <1% of all cases. Even in thyroid carcinoma medullary carcinoma with intracranial metastasis is extremely rare. This is a case report of 58-year-old male presenting with scalp swelling over the left fronto parietal region, which was diagnosed as medullary carcinoma thyroid with intracranial metastases. This case presented because of it rarity of presentation.