Qiraji Spiked Hilt

Qiraji Spiked Hilt is a Cenarion Circle armor token. It can be exchanged along with various idols and scarabs at various NPCs at Cenarion Hold for the following items:
 * Sickle of Unyielding Strength
 * Blade of Eternal Justice
 * Scythe of the Unseen Path
 * Dagger of Veiled Shadows
 * Hammer of the Gathering Storm

Source
This item drops from Buru the Gorger, Ayamiss the Hunter, Moam, and Ossirian the Unscarred in the Ruins of Ahn'Qiraj.