ABSTRACT
Severe closed head injuries are now routinely investigated by early CT, which visualizes most pathological lesions of immediate surgical importance. It is also routine practice to monitor the ICP and other parameters of cerebral physiology, providing objective data to control the use of artificial ventilation and other forms of conservative therapy. It is therefore legitimate to ask what now are the roles of clinical neurology in the management of head injuries in general, and severe head injuries in particular.
