BACKground: India in last few years have grown in leaps and have undergone major  economic and demographic transition coupled with increasing urbanization and motorization. Among the top ten causes of mortality in the country, Road traffic accidents
was one among the tenth cause. But with the increasing urban expanse and lifestyle  changes, it is projected that road traffic accidents will occupy the second position in the list of major killers among the causes of disease burden in this century. Road accidents  are one of the leading cause of death globally and mainly occurs in the age group of 15  to 49 years. methods: This cross-sectional study was carried out in 120 cases being brought in the  casualty of Travancore Medical College, Kollam, from July 2023to December 2023. A detailed data of sociodemographic profile, type of skull fractures and type of intracranial
hemorrhages were noted. results: The maximum cases (30.9%) were in the age of 31-40 years (37 cases); followed
by 31 cases (25.9%) from the age group 41-50years. The mean age of the patients was  33.24 (SD14.66) years. Linear fractures were the commonest type of skull fracture which were seen in 48 cases (40%), followed by comminuted fracture in 12 cases (10%)
and depressed fracture in 2 cases (1.7%). Subdural hemorrhage was the commonest  intracranial hemorrhage, seen in 58 cases (48.3%), followed by subarachnoid hemorrhage  in 48 cases (40%).