The opticsheath (OS) is a continuation of the dura, and a significant increase in ICP is transmitted through the subarachnoid space to the OS as well as the optic nerve head. The eventual distension of the optic nerve head as a result of the transmitted pressure results in however, is not a sensitive marker of raised ICP and can take several days to develop. Every case was examined in detail on the lines of the proforma designed for cases of suspected raised ICP, taking in to consideration history, symptoms, clinical signs, laboratory tests,USG optic sheath and CT Scan. The patient were thoroughly examined clinically and Radiologicaly and investigated for other risk factors and followed. In present study of 100 cases,47 cases were having GCS ≤8 out of those42 were having raised ICP on USG, and 12 cases havingGCS≥13 being lowest number of cases, out of 12 cases 9 cases were having raised ICP. the present study out of 100 cases 86 were having USG guided OSD>5mm and out of 100 cases 90 patients were having features of raised ICP in CT brain.