Introduction: Traumatic Brain Injury (TBI) is the leading cause of morbidity and mortality and a significant cause of death and disability all over the world.

Objectives: This study aimed to assess the role of CT scan in evaluation of traumatic brain injury from Tertiary Care Hospital Peshawar.

Methodology: A cross sectional study was designed from March to July 2023. Data was collected from the two tertiary care hospitals in Peshawar. The sample size was 350, including both genders of all ages. Self-structured Questionnaire was made to collect data with informed consent. Glasgow Coma Scale (GCS) was used for TBI severity. SPSS was used to find any statistical significance of the data.

Results: In majority of cases 73% were from male, then females with 27%. The incidence of TBI was highest (27%) in the age group of 11-20 years, followed by 21-30 years at 23%. Road traffic accidents (RTA) were the main cause of TBI with 54%, followed by falls at 38%. The majority of cases were mild TBI with 60%, and severe TBI was found in 16% of cases. Subdural hematoma was dominant in 36%, followed by epidural hematoma (33%), and subarachnoid hematomas in 11% of cases.

Conclusion: Mostly head injuries were in the age of 11-20 years in male having TBI due to RTA. Mild TBI and subdural hematoma was more prevalent. Strict policies were employed by the government to minimize the rates of RTA.

Keywords: Traumatic brain injury, computed tomography, road traffic accident, Glasgow coma scale