Cranio-Cerebral Injuries in Victims of Fatal Road Traffic Accident: A 5 year Post-Mortem Study

H S Gouda, PR Meghana, B B Prabha



Background:Victims of vehicular accident sustain different types of injuries, of which, head injury is considered as more fatal than injury to other systems. This study was carried out to know the incidence and pattern of cranio-cerebral injuries in victims of fatal vehicular accidents.

Methods: Medico-legal autopsies conducted on victims of vehicular accidents from 01-01-2008 to 31-12-2012 at the Dept. of Forensic Medicine, Father Muller Medical College, Mangalore, Karnataka, India, were retrospectively analysed.

Results:Deaths due to vehicular accidents constituted 69% of the total unnatural deaths. Cranio-cerebral injuries were present in 68.5% of victims of vehicular accident. Combination of skull fracture, intra-cranial haemorrhages and cerebral injury was seen in maximum number of victims (38.2%). If injuries are considered individually, most commonly observed injury was intracranial haemorrhage (90.7%), followed by skull fracture (78.9%). Subarachnoid haemorrhage was the commonest type of intracranial haemorrhage present (78.3%). In the skull vault, linear fracture was the commonest type (49%) and in the base, middle cranial fossa (68.3%) was the most commonly fractured fossa. Among the cerebral injuries, contusion of the brain tissue was the commonest injury seen. Frontal and temporal lobes were the most commonly injured parts of the cerebrum (65.8%).

Conclusion:Most of the cranio-cerebral injuries cannot be treated successfully because of their anatomical configuration. But, morbidity and mortality due to vehicular accidents can be reduced by preventing the occurrence of accidents. Therefore, the old saying, “Prevention is better than cure” holds good even here.


Road Traffic Accident, Skull Fracture, Intracranial Haemorrhage, Cerebral Injury.

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WHO. ICD-10 ‘International Statistical Classification of Diseases and Related Problem’. 10th revision. Volume 1. Geneva: World Health Organisation; 891-943.

Delhi Traffic Police. Available from: (Accessed on: 25th February 2014).

India leads world in road deaths: WHO. The Times of India. Aug 17, 2009. Available from: (Accessed on: 25th February 2014).

National Crime Records Bureau Report – 2012. Available from: (Accessed on: 26th February 2014)

Vij K. Text book of Forensic Medicine and Toxicology. 4thed. New Delhi: Elsevier; 2008.

Farooqui JM, Chavan KD, Bangal RS, Syed MMA, Thacker PJ, Alam S, Sahu S, Farooqui AAJ, Kalakoti P. Pattern of injury in fatal road traffic accidents in a rural area of western Maharashtra, India. Australas Med J. 2013;6(9):476-82.

Kumar A, Lalwani S, Agrawal D, Rautji R, Dogra TD. Fatal road traffic accidents and their relationship with head injuries: An epidemiological survey of five years. Ind J Neuro Trauma. 2008;5(2):63-7.

Jha S, Yadav BN, Agrawal A, Thakur D, Karna A, Subedi N, Gurung S. The Pattern of Fatal Head Injury in a Teaching Hospital in Eastern Nepal. J ClinDiagn Res. 2011;5(3):592-6.

Chavan KD, Devaraj P, Karaddy SS, Santosh SG. Study of patterns of cranio-cerebral injuries in deaths due to fatal vehicular accidents. Indian J Forensic Med Path. 2009;2(2):73-9.

Menon A, Nagesh KR. Pattern of fatal head injuries due to Vehicular accidents in Manipal. J Indian Acad Forensic Med. 2005:27(1):19-22.

Tandle RM, Keoliya AN. Patterns of head injuries in fatal road traffic accidents in a rural district of Maharashtra- Autopsy based study. J Indian Acad Forensic Med. 2011;33(3):228-31.

Ganveer GB, Tiwari RR. Injury pattern among non-fatal road traffic accident cases: a cross-sectional study in central India. Indian J Med Sci. 2005;59(1):9-12.

Chandra J, Dogra TD, Dikshit PC. Pattern of Cranio-Intracranial injuries in Fatal Vehicular Accidents in Delhi 1966-76. Med Sci Law. 1979;19(3):186-94.

Menon A, Pai VK, Rajeev A. Pattern of fatal head injuries due to vehicular accidents in Mangalore. J Forensic Leg Med. 2008;15(2):75-7.

Sharma BR, Harish D, Singh G, Vij K. Patterns of Fatal Head Injury in Road Traffic Accidents. Bahrain Med Bull. 2003;25(1):22-5.