We proposed to study the complications observed in severe head trauma patients hospitalized in rehabilitation department. This is a retrospective study conducted at the physical and rehabilitation medicine department in Sahloul Hospital, Tunisia. We reviewed the records of patients hospitalized for management of a severe head trauma during the period extending from January 2011 to December 2015. We collected 43 patients: 35 males and 8 females. Eighteen percent were aged less than 20 years, 25.6% were aged between 21 and 30 years. Two patients were diabetic, 76.7% of patients were victims of a road accident, 9% of a work accident. It was multiple traumas in 65.1%. Sixty-three percent of patients developed bedsores: sacral area in 23%, trochanteric in 7% and heel in 20.9%. They were stage III in 26% of cases and appeared in 18.5% of cases, one month after the trauma. Ninety-one percent of patients had received local treatment with modern dressing. Infectious complications were observed in 41.9% of cases: pneumonia in 30% of cases, urinary tract infection in 30% of cases and sepsis in 35% of cases. 27.9% of patients developed a neurogenic paraosteoarthropathy with multiple sites in 75% of cases. Pulmonary embolism was observed in 4.7% of patients. Three patients died following a sepsis. Despite the advances in understanding the mechanisms aggravating the initial brain injury, the mortality of patients suffering from severe head trauma remains high. 20 to 60% find a functional state allowing them to return home. Patients with severe head trauma are prone to multiple complications even coming out of the acute phase. These complications are potentially threatens the vital and functional outcome.