الفهرس 
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Abstract
This work conducted on 100 cases of head injury associated with fissure fractures of the skull 40 case were associated with fissure fracture of the vault of the skull and 60 case were associated with basal skull fractures.
Presence of fissure Fractures of skull indicate severity of head injury and possible brain damage.
The peak incidence was in the second decade of life (32.5) in the vault fractures and (38) in the basal skull fractures. Males predominated (63) the main cause was road accidents (50 x ).
Plain x rays missed many basilar skull fractures (40) but CT scanning with bone window took the upper hand in demonestrating basilar skull fractures particularly those of the middle cranial fossa.
Brain contusions are the most intracranial lesions demonestrated in our study (26 x), intracerebral hematomas demonestrated in 4 of the cases epidural hematomas occured in 4 cases, all of them were associated with fissure fracture of the temporal or temporo parietal regions. Two cases were associated with acute subdural hematomas. one case was associated with growing skull fracture. Surgical treatment did for all cases of epidural hematomas, one case of acute subdural hematoma , case with growing skull fracture and case with oesteomylitis of the skull.