Background:To analyse the pattern of cranio cerebral injuries at a tertiary care centre. Materials & Methods:A total of 100 subjects were included in the study, all of whom were taken directly to the mortuary for postmortem examination, regardless of the cause of their injuries. A comprehensive review of legal inquests and legal records was also conducted. The results were subsequently analyzed using SPSS software. Results:Skull fractures are observed more frequently in motorcycle riders, accounting for 34 cases (34%), followed by assault with 29 cases (29%), and they are least commonly seen in cases involving falls from height, which amounted to 3 cases (3%). Conclusion:Skull fractures are most commonly seen in motorcycle accidents, followed by assault.