Impairment of consciousness is one of the essential signs of traumatic brain injury.

Craniocerebral trauma currently occupies one of the leading places among injuries of various localizations (up to 40%) and is characterized as "killer number 1". The main task of modern therapeutic measures in the acute period of severe craniocerebral trauma is not only to extend the life expectancy of the injured, but also to create the most favorable conditions for restoration of functional activity of the brain, prevention and reduction of possible extra- and intracerebral complications, reduction of adverse neurological and psychiatric consequences in the long-term period.

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Reposition and fixation of fragments in case of combined injuries of the face and brain areas should be classified as anti-shock measures and should be carried out, taking into account the general condition of the victim, at the earliest possible date.

The adaptational rearrangement of microcircular channel of the bulbar conjunctiva and the brain in heavy craniocerebral trauma experimentally and in clinic is studied in the dynamics. Simultaneous reaction of vessels of the ocular analyzer and the brain is established. The terms of the rearrangement of vascular channel are determined and the course and prediction of heavy craniocerebral trauma are well-founded. The therapeutic effect of vagosympathetic block on microcircular channel is confirmed.