[Importance of early neurosurgical intervention in acute traumatic comatose and subcomatose states]

The authors report 91 cases of acute posttraumatic coma. The propose undertaking of promptly diagnostic, and consider that the most important is angiographic examination. Excluded the cases of clinical evident brain death of very dad generaly status of patient, they preopse prompt carotid angiography by every case of posttraumatic cerebral coma, in spite of eventual lack the neurological lateralisation. When they havenit time of possibility for angiographic examination, they undertook the diagnostic bur-hole. Early intracranial and intracerebral decompression in the first six hours is, if indication for operation is good line, nowadays unique method for treatment these patients in contemporary neurotraumatology.