Head injury is a morbid state, commonly results during the road traffic accident. Identification of studied pattern helps to understand the potentially fatal head injury. Objective: To describe the nature and pattern of skull fractures among deceased due to injury at tertiary care hospital of North India. Study design: Cross-sectional hospital based study. Methods and procedures: Autopsy. Results: Head injury with skull fracture found to be associated with road traffic accidents (92.8%) among

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... tal 87 deceased. The base skull fracture was common (44.0%), followed by base and vault (31.0%). The ratio of unilateral to bilateral involvement of skull vault in fracture was 2.40:1. Intracranial hemorrhage was the most frequently observed with the fracture. Conclusion: Most of the cases of head injury is due to vehicular accidents and proved to be fatal for life, the safety measures, for both the drivers and the passengers of the respective vehicles should be addressed.