Trauma in the United States is the leading cause of death and disabili
ty in the pediatric population. Differences of age and development aff
ect recovery and outcome following head injury. Mechanisms and pathoph
ysiology of head injury are varied in both the pediatric and adult pop
ulations. Assessments of injury are varied and some measurements are m
ore sensitive than others as well as more specific with regard to cert
ain types of injury. Treatment and management should be tailored to ea
ch case in order to effect a positive outcome with respect to brain fu
nctioning. Aggressive intervention for prevention of primary and secon
dary injury must be continued and understanding of the impact of these
injuries should provide for a brighter future for these patients.