Fall-related traumatic brain injury in a Nigerian pediatric population

•Our study identifies falls as a common mechanism of TBI in our practice.•The older children fell more from trees and sustained injuries associated with high mortality.•About a third of the patients presented with early post-traumatic seizures.•Associated injuries varied with age; those greater than 5 sustained long bone fractures while the younger children sustained ocular injury.•Awareness of fall as a serious public health challenge should trigger a concerted advocacy aimed at driving the required policy change across relevant levels of government. Accidental falls are a common cause of disability and trauma-related death in the pediatric population, accounting for a large number of pediatric emergency hospital admissions. This multicenter study assesses the clinical characteristics, management outcomes of pediatric falls-related traumatic brain injury and associated factors in Nigeria. A retrospective study of pediatric patients (age less than 18-years) with falls over a 2-year period. Data was extracted from clinical records and neurosurgical data sheets from three major centres in Nigeria, and was analyzed using descriptive statistics, Chi square test and multinomial regression with significance set at p