Background: Traumatic intracerebral hemorrhage accounts for 8-13% of all strokes, and results from a wide spectrum of disorders. Patients with head trauma may experience one or a combination of primary injuries, including scalp injury, skull fracture, basilar skull fracture, concussion, contusion, intracranial hemorrhage, subarachnoid hemorrhage, epidural hematoma, subdural hematoma, intraventricular hemorrhage, penetrating injuries, and diffuse axonal injury.Methods: Retrospective data including socio-demographic data, type of accident, type of hemorrhage, clinical manifestations and outcome were collected from 141 patients with traumatic intracranial hemorrhage who were admitted to Kasr El-Ainy hospital during the period from january to march 2011.Results: The majority of cases occurred due to fall from a height without scalp injury. They were males, below 20 years old, and improved on conservative treatment only.Conclusion: Traumatic intracranial hemorrhage is a major health problem. Good management including proper choice of treatment is the key for better outcome.