Background:Traumatic brain injury (TBI) corresponds to non-degenerative, non-congenital trauma to the brain caused by an outside mechanical impact.This study wasplanned to assess the clinico-epidemiological pattern of Traumatic brain injuries in tertiary centre in rural India. Materials &Methods:200 patients with head injury admitted under Department of General Surgery, NMCH, Sasaram were enrolled. After admission to the hospital, a detailed history was taken regardingthe presenting complaints particularly the epidemiological factors, mode of injury, clinical findings, radiological findings, and type of intervention done.All patient suspected to have traumatic brain injuries; CT scan of brain was done. Results:Out of 200 patients, 145 were males and 55 were females.Mode of injury of most of patients (60%) was RTA followed by Fall (25.50%).Most of the patients (52.50) had GCS ≥ 13. 15.50% of patients had GCS ≤ 8.Loss of consciousness was most frequent (74.5%) clinical characteristics followed by vomiting (60.5%). Headache was reported by more than 50% of patients.All the patients with GCS ≤ 8 had loss of consciousness. Incidence of other clinical symptoms was also greater in patients with severe GCS.Severe disability, vegetative state and death were more prevalent in elderly patients. Conclusion: Patients with TBI are diverse and do not exhibit the risk variables recommended by guidelines when it comes to neurocranial injury. Given this and the ongoing technological advancements in radiology that frequently lead to improved pathology identification and characterization, it is essential to regularly update clinical guidelines.