Background: Head injury remains a major cause of morbidity and mortality worldwide, particularly in developing nations where road traffic accidents and falls are prevalent. Timely diagnosis, severity assessment, and appropriate neurosurgical or supportive interventions are essential for improving patient outcomes.

Objective: To evaluate the demographic profile, injury mechanisms, clinical patterns, severity, and outcomes of patients presenting with head injury at a tertiary care surgical center

Methods: This retrospective observational study was conducted in the Department of General Surgery, Major S. D. Singh Medical College, Farrukhabad, Uttar Pradesh, India. A total of 200 cases of head injury admitted between January 2013 and December 2013 were analyzed. Data were collected on age, gender, mode of injury, Glasgow Coma Scale (GCS) score at admission, radiological findings, management strategy, and final outcome. Patients were categorized based on head injury severity, and outcomes were assessed using Glasgow Outcome Scale (GOS) at discharge.

Results: The majority of patients were males (78%) and in the age group of 21–40 years. Road traffic accidents (64%) were the most common cause, followed by falls (22%) and assaults (14%). Mild head injury accounted for 58%, moderate for 24%, and severe injuries for 18%. CT findings revealed contusions in 32%, subdural hematomas in 21%, extradural hematomas in 16%, and diffuse brain edema in 9% of cases. Surgical intervention was required in 27% of patients. Overall mortality was 11%, predominantly among patients with severe head injury. Favorable outcomes (GOS 4–5) were observed in 72% of cases.