Background: TBI is a leading cause of death and disability around the globe. The Glasgow Coma Scale (GCS) and the Glasgow Outcome Scale (GOS) are the most widely used methods of describing TBI and measure of outcome following head injury. Computed tomography (CT) has become the current standard for diagnosing intracranial pathology following head trauma The aims of this study were to identify radiological features of patients in who repeated CT imaging would be useful and to identify the outcome of head trauma, according to Glasgow Outcome Scale .In addition to make a development of a stratification protocol of patients into appropriate risk groups avoiding over or under investigation in such patients. Method:A retrospective case series study analysis of head trauma patients presenting to the 48 Medical Model Compound Hospital between January and March 2017. All patients requiring a CT head on admission and then a repeat (control) CT at 6 hours or more were included. Their GCS was assessed twice before undergoing the control brain CT scans; once they arrived at the hospital, then followed by another assessment after 3 hours and assessed GOS on discharge.Results: Of the total 27-control brain CTs, it was seen there were no different in 23 (85.2 %). In CTs of anther 1 (3.7%) there was increasing in the pathology present. And in the anther 3 (11.11%) there were a decrease in the pathology. Over all, all patients had clinical improvement and good outcome depending on of GCS and Glasgow Outcome Scale respectively. Conclusion:To conclude, control brain CT scans after 6 hours or more from the event are not necessary in case the initial CT was normal or when there is no clinical deterioration Background. Traumatic Brain Injury (TBI) is defined as damage to the brain resulting from external mechanical force, such as rapid acceleration or deceleration, impact, blast waves, or penetration by a projectile and presents a major worldwide social, economic, and health problem [1]. TBI is a leading cause of death and disability around the globe [2]. In developing countries, the incidence of traumatic brain injury is increasing as traffic increases, besides Other confounding factors such as industrialization, falls and ballistic trauma [3]. The most widely used methods of describing TBI are the Glasgow Coma Scale (Figure 1). It is predictive of mortality in a general TBI population. The Glasgow Outcome Scale (Figure 2) is the most widely used and accepted measure of outcome following head injury [4][5][6].Computed Tomography (CT) is the preferred radiologic test in TBI it is quick, accurate, and widely available, it has become the current standard for diagnosing intracranial pathology following head trauma. And the role of the initial brain CT scan and of unscheduled repeat brain CTs when a neurological deterioration occurs is well established. But using of routine serial head CT in patients without neurologic deterioration is not supported by the findings of Brown et al [7][8][9][10].The aims of this study are to identify radiolo...