Adam E. Ammar, MD
Pediatric Neurosurgeon
A child’s brain develops continuously from before birth through adolescence and into early adulthood. During this time, the brain forms connections, strengthens important neural pathways, and adapts to experiences that support learning, memory, movement, communication, and emotional development.
The early years are particularly important because the brain develops rapidly in response to responsive caregiving, conversation, play, nutrition, sleep, and everyday experiences. However, brain development does not follow a single fixed timeline, and children can reach developmental milestones at different rates.
At New Jersey Pediatric Neuroscience Institute (NJPNI), families can learn about childhood neurological development and the signs that may warrant professional evaluation. If you have concerns about your child's milestones, behavior, movement, or learning, a pediatric neurology evaluation can help determine whether further assessment is appropriate.
This guide explains seven important biological processes involved in brain development, the major developmental periods from infancy through adulthood, and practical ways parents can support healthy development.
What Are the Stages of Brain Development?
Brain development involves several overlapping biological processes rather than seven strictly separated stages. These processes begin before birth and continue at different rates throughout childhood and adolescence.
Seven important processes are:
- Neurogenesis — the formation of new neurons.
- Cell migration — neurons moving to their appropriate locations.
- Cell differentiation — cells developing specialized functions.
- Cell maturation — neurons and supporting cells developing their structures and functions.
- Synaptogenesis — the formation of connections between neurons.
- Programmed cell death and synaptic pruning — processes that help refine neural networks.
- Myelination — the development of protective insulation around nerve fibers that improves signal transmission.
These processes work together to establish and refine the networks that allow children to think, learn, communicate, move, and respond to their surroundings.
1. Neurogenesis
Neurogenesis is the process through which new neurons are formed. It begins during prenatal development, when neural stem and progenitor cells produce many of the neurons that will form the developing brain.
Why it matters: Neurons are the cells that transmit information throughout the nervous system. Their formation establishes the foundation for the brain's developing networks.
2. Cell Migration
After neurons form, many must move to specific locations within the developing brain. These movements help establish the organization of different brain regions and their connections.
Why it matters: Proper cell positioning supports the development of brain structures involved in movement, sensation, language, memory, and other functions.
3. Cell Differentiation
Cell differentiation occurs when developing cells acquire specialized structures and functions. Different types of neurons and supporting cells develop according to biological signals and their surrounding environment.
Why it matters: Specialized cells allow different parts of the nervous system to perform distinct tasks and communicate effectively.
4. Cell Maturation
As brain cells mature, neurons develop structures such as axons and dendrites, which help them send and receive information. Neural circuits continue to develop and become more organized.
Why it matters: Cell maturation supports the increasingly complex networks needed for movement, attention, learning, and other cognitive functions.
5. Synaptogenesis
Synaptogenesis is the formation of synapses, the connections through which neurons communicate. The developing brain forms many connections during infancy and early childhood, with patterns influenced by genetics and experience.
Talking with children, reading together, playing, and responding to their needs provide opportunities for learning and interaction that help shape developing neural circuits.
Why it matters: Neural connections support communication between brain cells and contribute to learning, memory, language, and social development.
6. Programmed Cell Death and Synaptic Pruning
During development, some cells are eliminated through programmed cell death, while synaptic pruning reduces or refines certain neural connections. These are related but distinct biological processes.
Why it matters: Refining neural networks helps the brain organize its connections and adapt as children gain experience. Pruning does not mean that every unused connection is harmful or that learning opportunities must be constant.
7. Myelination
Myelination is the formation of myelin, a protective insulating layer around many nerve fibers. This layer helps electrical signals travel more efficiently through the nervous system.
Myelination begins before birth and continues throughout childhood and adolescence, with some pathways developing into adulthood.
Why it matters: Efficient communication between brain regions supports movement, attention, information processing, and other functions.

Brain Development by Age: Five Major Developmental Periods
The biological processes described above overlap across different ages. To understand how development changes over time, it is also helpful to look at five broad developmental periods.
These age ranges are general guides, not strict boundaries. Individual development varies, and no single behavior or milestone can fully measure a child's brain development.
1. Prenatal Development: Before Birth
During pregnancy, the brain and nervous system begin forming and developing their basic structures. Neurons are produced, migrate to appropriate locations, and begin establishing connections.
Genetic factors, maternal health, nutrition, and certain prenatal exposures can influence this process.
What supports development: Appropriate prenatal care, recommended nutrition, avoidance of harmful substances, and management of health conditions help support healthy fetal development.
2. Infancy: Birth to 2 Years
Infancy is a period of rapid brain growth and learning. Babies begin developing sensory awareness, motor skills, early communication, social interaction, and attachment to caregivers.
Everyday experiences such as being held, hearing familiar voices, exploring safe objects, and responding to facial expressions provide opportunities for learning.
What parents can do:
- Respond to a baby's sounds, gestures, and cues.
- Talk, sing, and read aloud.
- Provide safe opportunities for movement and exploration.
- Establish consistent routines for sleep and feeding.
- Attend routine pediatric visits and discuss developmental concerns.
3. Early Childhood: Ages 3–5 Years
During the preschool years, children develop more complex language, imagination, memory, social skills, and the ability to manage emotions. They also begin improving attention, planning, and self-control.
The brain remains adaptable, and supportive interactions help children practice new skills.
What parents can do:
- Encourage pretend play, drawing, building, and problem-solving.
- Read stories and have conversations about everyday experiences.
- Provide opportunities to play with other children.
- Maintain predictable routines and age-appropriate boundaries.
- Support healthy sleep, physical activity, and balanced nutrition.
4. Middle Childhood: Ages 6–11 Years
During school-age years, children continue developing reasoning, attention, language, memory, and academic skills. They become increasingly capable of following instructions, solving problems, and understanding more complex social situations.
Neural connections continue to be refined, and brain networks involved in attention and executive function develop further.
What parents can do:
- Encourage reading, curiosity, and learning through practical activities.
- Support regular physical activity and adequate sleep.
- Help children develop routines for schoolwork and responsibilities.
- Encourage friendships, cooperation, and healthy emotional expression.
- Discuss ongoing learning or developmental difficulties with a pediatrician.
5. Adolescence and Early Adulthood: Approximately Ages 12–25
During adolescence, the brain continues changing in areas involved in emotion, reward, decision-making, planning, and self-regulation. Experiences, relationships, education, and increasing independence all contribute to development.
Brain maturation does not end on a person's 18th birthday. Some aspects of brain development continue into the twenties, and there is no single age at which every brain function becomes fully mature.
What supports development:
- Consistent, adequate sleep.
- Regular physical activity and balanced nutrition.
- Supportive relationships with family members and peers.
- Opportunities to practice decision-making and problem-solving.
- Guidance around stress, emotional health, and risk-taking.

Why Are the First Five Years Important for Brain Development?
The first five years are a period of substantial brain growth and learning. Children rapidly develop language, sensory processing, motor abilities, early reasoning, emotional responses, and social interaction skills.
Experiences during this period help shape developing neural connections. However, brain development continues throughout childhood, adolescence, and adulthood. Early childhood is important, but it is not the only opportunity for learning or improvement.
Several factors help support development:
Responsive caregiving: Consistent, caring interactions help children feel secure and learn to communicate.
Language and interaction: Talking, singing, reading, and responding to children's attempts to communicate provide opportunities to develop language and social skills.
Play and exploration: Age-appropriate play encourages curiosity, problem-solving, movement, and imagination.
Sleep: Adequate sleep supports attention, memory, learning, and emotional regulation.
Nutrition and health: Balanced nutrition, routine healthcare, and appropriate treatment of medical conditions support overall growth and development.
Safe, supportive environments: Reducing exposure to harmful substances and persistent stress, while providing reliable care, helps support healthy development.
How Parents Can Support Healthy Brain Development
Parents do not need expensive toys or specialized activities to support their child's development. Everyday interactions and consistent care can provide valuable learning opportunities.
Encourage Play and Exploration
Offer age-appropriate toys, books, puzzles, building activities, and opportunities for imaginative play. Follow your child's interests and allow them to explore safely.
Talk, Read, and Sing Together
Describe everyday activities, ask simple questions, read stories, and respond to your child's attempts to communicate. These interactions support language development and social connection.
Support Healthy Sleep
Keep sleep routines appropriate for your child's age. Consistent sleep schedules can help support learning, attention, mood, and overall health.
Provide Balanced Nutrition
Offer a varied, balanced diet that supports growth and development. If you have concerns about feeding, nutritional deficiencies, or supplements, consult your child's healthcare professional rather than starting supplements without guidance.
Encourage Physical Activity
Movement and active play help children develop coordination, balance, strength, and motor skills. Choose activities appropriate for their age and abilities.
Create a Safe and Supportive Environment
Children benefit from reliable caregiving, opportunities to express emotions, and appropriate boundaries. Help them manage stress and seek professional support when emotional or behavioral difficulties persist.
Use Screens Thoughtfully
Screen recommendations vary by age and circumstance. For young children, prioritize sleep, face-to-face interaction, physical activity, and hands-on play. When screens are used, age-appropriate content and caregiver interaction can make the experience more meaningful.

Signs of Developmental Delay: When Should Parents Seek Advice?
Children develop at different rates, and a difference in one skill does not automatically indicate a disorder. However, ongoing concerns about development deserve attention, particularly when a child is having difficulty across several areas or loses skills they previously acquired.
Consider discussing the following with your child's pediatrician:
- Delays in communication, movement, or other expected developmental skills.
- Persistent difficulty understanding language or communicating needs.
- Ongoing challenges with coordination, balance, or movement.
- Difficulties with attention, learning, social interaction, or everyday functioning.
- Loss of previously acquired language, movement, social, or other developmental skills.
- Concerns raised by parents, caregivers, teachers, or other healthcare professionals.
Loss of previously acquired skills warrants prompt medical evaluation. Seek urgent medical care if a child develops sudden weakness, a seizure, a sudden change in consciousness, or other acute neurological symptoms.
A pediatrician can assess developmental concerns and determine whether further evaluation is needed. For ongoing neurological concerns, NJPNI provides pediatric neurology services for children with developmental delays and other conditions affecting the nervous system.
You can also read our related guide, 5 Symptoms That Suggest You Should See a Pediatric Neurologist, for more information about signs that may warrant specialist assessment.
How Can a Pediatric Neurologist Help With Developmental Concerns?
A pediatric neurologist evaluates conditions affecting a child's brain, spinal cord, nerves, and related functions. Depending on the concerns, an evaluation may include a medical history, developmental history, neurological examination, and selected tests when clinically indicated.
The purpose is to understand the child's symptoms, identify possible causes, and determine an appropriate plan. Not every developmental difference requires neurological testing or treatment.
At NJPNI, families can learn more about pediatric neurology care and the conditions the team evaluates.
A pediatric neurosurgeon has a different role, focusing on conditions that may require surgical assessment or treatment involving the brain, spine, or nervous system. If a child's findings suggest a structural or surgical concern, the appropriate specialist can be determined following clinical evaluation. Learn more about pediatric neurosurgery at NJPNI.
For information about a member of the pediatric neurology team, visit Dr. Jeffrey Kornitzer's profile. He is a pediatric neurologist who evaluates and treats a range of neurological and neurodevelopmental conditions in children.
Frequently Asked Questions About Brain Development in Children
When does brain development begin and end?
Brain development begins during prenatal life and continues through infancy, childhood, adolescence, and adulthood. Some aspects of brain maturation continue into the twenties, although different brain systems develop on different timelines.
How much of the brain develops by age 3?
The brain grows rapidly during the first three years of life and reaches a substantial proportion of its eventual adult volume. Estimates commonly describe brain volume as approaching roughly 80% of adult volume by around age three, but the exact proportion varies by measurement and reference. Brain volume is not the same as cognitive maturity or overall development.
What are the seven stages of brain development?
Seven important biological processes are neurogenesis, cell migration, cell differentiation, cell maturation, synaptogenesis, programmed cell death and synaptic pruning, and myelination. These processes overlap and continue at different rates rather than occurring as seven separate, age-defined stages.
What factors influence a child's brain development?
Brain development is influenced by genetics, prenatal health, nutrition, sleep, physical health, responsive caregiving, learning opportunities, social relationships, and environmental conditions. No single activity or intervention guarantees a particular developmental outcome.
Can developmental delays be identified early?
Yes. Developmental screening and routine pediatric visits can help identify concerns with communication, movement, social interaction, and other skills. If a child loses previously acquired abilities or has persistent developmental difficulties, discuss the concern promptly with a healthcare professional.
When should my child see a pediatric neurologist?
A pediatric neurology evaluation may be appropriate when a child has persistent developmental concerns, seizures, unusual movements, significant coordination difficulties, or other symptoms affecting the nervous system. Your pediatrician can help determine the appropriate next steps, and urgent or sudden neurological symptoms require prompt medical attention.
Support Your Child's Development With Guidance From NJPNI
Every child develops at an individual pace. Understanding the processes involved in brain development can help parents support learning, recognize concerns, and seek guidance when needed.
If you have concerns about your child's development, the team at New Jersey Pediatric Neuroscience Institute (NJPNI) provides pediatric neurology and neurosurgery services for children with a range of neurological conditions.
Learn more about pediatric neurology services or visit our New Jersey offices for appointment information. You can also call (973) 326-9000 to ask about scheduling and the appropriate service for your child's needs.


