Background: Motor vehicle crashes are a major cause of fatality all over the world. By 2020 motor vehicle injury is projected to become the third leading contributor to the global burden of disease in the world. Motor cyclists are about 25 times more likely than car occupants to die in Road Traffic Accidents. Aim and Objective: To Compare the scalp injuries with cranial and cerebral injuries, i.e., to know how many percent of cases of scalp injuries are associated with skull and brain injuries. Study Design: Cross sectional Prospective. Place of Study: Osmania General Hospital Mortuary Hyderabad. Duration of Study: From 2010 to 2012. Material and Method: The subjects for the study were all cases of head injury due to blunt trauma whether admitted to the hospital or not, brought for medico legal autopsy during this period. Information was gathered from the relatives of the deceased or accompanying persons, police personnel, police inquest, hospital records and postmortem findings. Observation and Discussion: n 400 cases of head injury cases, 82% of victims are males and 18% victims arefemales, 88 cases remained unidentified i.e., a whipping 22 % of 400 cases. In Age group  of 31­40, almost 70% of the fatalities of the 75 cases fell in under 35 year age group. The incidence in vehicular accidents is 208 of which 170 are males and 38 females. The majority of the vehicles driven by the victims were motor cycles 123 cases. 364 of the 400 cases (91%) scalp injuries co­ xisted along with bony and cerebral injuries. It is mentioned that external injuries may or may not be present in all cases of head injury. The view that wounds of the scalp due to blunt force must be looked upon as potentially serious no matter how they are produced.Scalp injuries are usually the result of direct impact but may not be apparent in inflicted head injuries. Conclusion: he subject of “scalp injury and cranio­cerebral trauma” has assumed paramount importance in recent times owing to the enormous mechanization of various aspects of life. By compiling the records of these traumas at national levelor international level can underline risk factors involved in these accidents, will be extremely helpful in the policy building and making the decisions for health promotion and health building at national or international level.

Keywords: Scalp Injury; Cranio­Cerebral Trauma; Road Traffic Accidents.