641 consecutive cases of head injuries admitted to the Irwin Hospital, New Delhi, were studied. A fall was the most common cause of head injury in children. The study stresses the importance of the level of consciousness in the assessment as well as management of head injuries. The very low number of cases undergoing surgical intervention in the series and the presence of significant findings of compression in 11 autopsied cases, suggest the need for more expertise and vigilance in the management of head injuries. © 1975 Indian Journal of Pediatrics.