A brain hemorrhage can occur in any part of the brain, can be caused by various conditions, both traumatic and non-traumatic. Nowadays, more and more teenagers are engaging in riskier sports either at school or in recreational settings. They are thus exposed to a variety of injuries including bruising or skull fractures. We report a case was a teenager 15 years' old that punched in a battle 1 hours ago and her friend bring him to hospital because of head swelling, that remains brain hematoma and Pneumocephalus for him. In head injuries caused by blunt trauma can also cause subarachnoid hemorrhage and subdural hemorrhage due to rupture of the superior cerebral vein and “bridging vein” due to pressure/trauma it can cause death, to distinguish subarachnoid hemorrhage from subdural hemorrhage needs to be done sprinkling with water. Traumatic brain injury is a common condition in the emergency services, affecting the pediatric and adult population significantly. Patterns of head injury as well as management principles in children are important differences compared to adults. The care of severe traumatic brain injuries is challenging and dynamic. Fortunately, with regard to the now established diagnosis of persistent TBI– Concussion, the patient now has a new treatment plan. Motor vehicle accidents are a common cause of traumatic brain injury, muscle, Spine and nerve injury. In recent years public awareness of the potential long-term effects of concussions and mild traumatic brain injuries sustained in sport of football has increased.