Introduction: Traumatic head and brain injuries are important public-health and socioeconomic problem. Traumatic brain injury is called a silent epidemic due to the constant growth of incidence and collective social underestimation of its importance. Purpose: To make age and sex distribution, to determine the frequency of individual injuries, to determine the most common injury mechanisms and the need for neurosurgical operation. Subjects and procedures: 92 patients were hospitalized at Neurosurgery Clinic of University Hospital of Rijeka for traumatic head and brain injuries in June, September and December 2017. Medical records were analyzed containing information on sex, age, time and injury mechanisms, trauma localization, all diagnoses and the need for surgical treatment. Results: Most patients with head and brain trauma were in the age range of 65 years or more. Significantly more men get trauma of the head and brain. The most common injury mechanism is fall. Traffic accidents are more frequent in June and September and less frequent in December. Subdural hematoma is the most common neurosurgical diagnosis. Operative therapy is a choice in about 25% cases of traumatic head and brain injuries. Conclusion: Craniocerebral injuries are one of the leading causes of mortality and disability in the world. Raising collective awareness of the importance of prevention is an important step in the fight against head and brain injuries.