Aim: The goal of this review would have been to look at the link between skull fractures and intracranial abnormalities after a head injury. Methods: To that end, 550 cases sent to the Sir Ganga Ram Hospital in Lahore owing to traffic accidents between April 2020 and March 2020 were studied prospectively. Depending on the outcomes of their cranium X-rays and brain topographies, they have been classified into three parts. 1- Cases involving head injuries and brain lesions 2- Instances with skull bone fractures but no brain lesions 3- Cases with brain abnormalities but no skull fractures. Results: Patients have been thoroughly investigated in terms of age, gender, location of head wounds and brain abnormalities, and whether or not surgery was being used. There were 156 (32.5%) instances with just linear fractures, 71 (14.9%) with depressed fracture, 93 (19.5%) with linear fractures plus intracranial lesions, 48 (10.9%) with depressed fractures plus intracranial lesions, and 139 (28.7%) with just intracranial tumors. The incidence of intracranial lesion in belongings having skull fracture were 41.7 percent (143/368), but degree of skull fracture in patients without intracranial lesion remained 51.4 percent (142/277) (p0.002). The male to female ratios for straight fracture included 3.5/2, 6.3/2 for depressed fracture, and 4.6/2 for cerebral lesions. Females were more likely to have linear fracture, but men were much more likely to have depression fractures (2: 10.67, df: 5, p: 0.047). The average age was 27.4 years. Depressive fractures were more common in those aged 0 to 31. (2: 17.29, df: 4, p = 0.004) Depressed fractures in the parietal and frontal areas, as well as linear breakage in the parietal and temporal areas, have been identified at greater rates (p0.002). Conclusion: Finally, we evaluated broken bones and/or intracranial nodules caused by traffic accidents and discovered that unhappy fractures are extra common amongst men, because although linear fissures are much extra in females and young males. The head structure of men is larger and better than that of females in addition males. We may conclude that the existence of skull fractures reduces occurrence of cerebral lesions through reducing intraocular pressure. Keywords: Skull Fractures, Intracranial Abnormalities, Head Injury, Road, Accidents.