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Head injury is a major cause of mortality and morbidity throughout the world. Fortunately, majority of patients suffer from mild head injury and escape the disabling sequelae. Glasgow coma scale remains an effective method for initial assessment as well as subsequent progress of the patient. Intensive care management with efforts to minimize the secondary brain injury reduces the magnitude of disability. Prevention strategies through education, use of safety methods and enforcement of laws will help in decreasing the incidence of primary brain injury.