Background: Head is the vital part of the body. So any injury to head may be fatal in the form of neurogenic shock, fracture or intracranial haemorrhage which is caused by mostly blunt object and some time it may be due to firearm injury. Aims: To study the epidemiological aspect of fatal head injuries. Material and Method: In this study 150 cases of fatal head injuries studied for their various aspect. Results: Most cases are of road traffic accident (RTA). Most of them are young male between 20-40 years of age. Though majority of them died within in 1hrs, on the spot or on the way. Most of them are in the form any form of skull fracture or intracranial haemorrhage. Conclusion: Most of the fatal head injuries are of fracture of the skull followed by any of intracranial haemorrhage which were due to any form of road traffic accident.

Keywords: Neurogenic Shock; Intracranial Haemorrhage; Cranium.