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Department of Neurosurgery. Medical School of Mediterranean University, Antalya, Turkey Post-traumatic epilepsy (PTE) is the most important problem in patients who are able to return to a normal life after head injuries. Depressed fractures are commonly accepted as risk factors increasing development of PTE. In this study PTE was found in 9 % of 122 patients with depressed fractures and 3 % in 200 patients with closed head injury. PTE was found to significantly increased in patients with complicated depressed fractures (p 0.05). There was a weak relationship between anti-convulsant therapy and PTE development. EEG abnormalities were more common in cases with depressed fractures even in non-convulsive patients (p 0.05). Keywords : Depressed fractures, Post-traumatic epilepsy, EEG abnormality