<p>Early deaths in head injury patients are still topic of debate. In our study we aim to identify the risk factors responsible for early deaths in severe head injuries patients A Prospective study was conducted in department of General surgery Hamidia hospital Bhopal. Radiological investigation of all head injury patients was done and patients were assessed according to Glasgow coma scale. Incidence of death due to traumatic brain injury mostly occurs in old age patients although majority of patients with severe head injury belongs to younger age group .Patients with low Glasgow coma scale along midline shift >5mm have poor prognosis while those presented with midline shift >15mm associated to 100% mortality. Our study is based on radiological and clinical data based on Glasgow Coma Scale and is helpful to rule out poor prognostic factors and cause of early death in severe head injury patients.</p>