To manage cerebro cranial trauma in case of lacking of modern diagnostic equipment

329 subjects (234 males, 94 females) with cerebro cranial trauma were treated at Dien Bien Phu Hospital in Lai Chau province from January 1st 1994 to December 31st 1998. Results: 8/329 cases were refered to other hospital because of various other causes. 283 cases (88.16%) among them underwent internal management. 38 cases (11.84%) surgeried. Mean duration of treatment was 7.4 days. Mean post operative care 12.2 days. 293/312 cases were recovered generally (91%). Post operative recoverd cases accounted for 25/38 cases (65%) among them 22 cases were completely recovered (88%). No negligible trauma was detected at autopsy. In the conditions of basic level health facilities, X ray craniography was necessary, needing an early management.