Landmine explosions cause most of the war injuries on the battlefield and pose a substantial public health risk. Although the lower limbs are usually affected, head injuries may also occur. The aim of this study is to describe the types of head injuries caused by the explosion of landmines, along with the management of the victims. Twenty patients who sustained a head injury due to a landmine explosion were treated in the Department of Neurosurgery between 2000 and 2010. The average age of the patients was 23.5 (range between 20 and 33). Shrapnel, stone and earth were the wounding agents. Six patients underwent neurosurgical treatment and 14 had simple scalp closure and conservative treatment. Twelwe patients had associated lesions in the other parts of the body including thorax, upper and lower limbs, and the abdomen. Three patients died due to massive brain damage. Infection was observed among 6 patients. Five patients were treated by the psychiatry department for memory and cognitive problems. Landmines occasionally cause traumatic brain injury. Surgical intervention is seldom required and survival is likely unless the patient is in a deep coma. Multidisciplinary approaches are required for these patients.