Background and objective: Traumatic brain injury (TBI) is one the most dangerous injuries worldwide. The effects of TBI can be profound and may result in long-term unresponsive states. Tell now there is no enough conductive studies in Hail region regarding it. The current study aimed to report the importance of head injuries in Hail region and correlate the incidence with age, sex, occupation, cause and types. Material and Method: The database registry was retrospective study, hospital-based to any head trauma referred to neurosurgery department, KKH, Hail. Results: 121 patients were attending the neurosurgery department of KKH. The prevalence of head trauma among patients was 76%. The highest age group was 12 years and less (38.0%), (45,7%) of them were diagnosed as brain trauma. RTA was the leading cause of TBI (55.4%), while 44.6% were due to fall down. Surgical intervention as management was only 20.7% while other management procedures were 79.3%. Conclusion: There is a significant relationship between age and head trauma. The most affected group were children under 12 years. Males were more common than females. The impact of TBI in Hail region requires more observation and prevention programs to improve the health and reduce the risk from remarkable increasing in the following years.