1) A rare condition where one's skull resembles a square(predominantly with a completely flat top) rather than the normal human head, which is oval shaped.This generally occurs in rednecks, due to lack of diversity in the gene pool.
2) An insult, used to mock people with the condition described in definition 1).
John: Wow Peter, I never noticed how oddly shaped your head is!
Peter: Deh
or
Gary: LOL way to trip walking up the stairs Rus, you Box Head.
Russell: Stop making fun of me, I hate you so much.
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