Basilar skull fractures have previously been described as the result of cranial vault impacts. Such fractures resulting from impacts to the chin, face and/or orbital areas (non-cranial vault areas) have not been adequately documented. These types of fractures and the motor vehicle incidents in which the injuries were sustained will be described according to the type of crash and vehicles involved. Data on the tolerance levels of the basilar region of the skull are sparce at best. Case histories of non-cranial vault impacts, presented in a variety of crash types, document that facial impacts can be the sole cause of basilar skull fractures. A historical review of the basilar skull fracture literature is presented.