[The neurosurgical aspects of medicine in catastrophes]

This paper introduces experience in specialized urgent neurosurgical help to the casualties with neurotrauma after explosion in Arzamas (116 patients), after the earthquake in Armenia (737 pts) and gas explosions in Bashkiria (42 pts). Quotes of neurotrauma and injury types depended on biomechanical aspects and on the difference of the hits. Problems of diagnosis, sorting and surgical treatment are discussed.