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A group of 22 patients with internal carotid thrombosis following head injuries, admitted to hospital during the last decade is discussed, particularly as regards the relationship between trauma and thrombosis seen from the aetiological, diagnostic and medico-legal aspects.

1967)], of the intima and media associated with moeri-aneurysms [Bets and Kramer (1964)] and even of dissecting aneurysms [Drats and Woodhall (1947), [s/ort (1962)]. The diagnosis is difficult and prognosis and therapy variable. The present paper reports on three cases of posttraumatic spasm of the intracranial arteries developing shortly after a direct cranio-cerebral injury (out of 11,271 cranio-cerebral injuries admitted to the Clinic of Neurosurgery between 1940 and 1968). ease ReportsCase 1: P. I., rome, aged 26, admitted to the Clinic of Neurosurgery on January 5, 1968. On the day before admission he had a motor car accident being struck in the left temporo-parietal region and he lost consciousness for several minutes. On admission his general condition was good, the vital functions normal, but he was mildly confused. NcurologicM findings were normal. Examination of the eyes revealed fixed mydrasis severe disturbance of light percept.ion and abolished photometer and corneal reflex in the left eye.EEG showed evidence of a lesion in the fronto-temporM region in the left hemisphere. Radiographs of the skull revealed multiple fractures in the left

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