The alteration of nerve cell plasma membranes is reviewed in some neuropathological conditions. In moderate brain oedema a continuous plasma membrane is observed but the cytoplasmic membranes, such as smooth and rough endoplasmic reticulum membranes appear damaged. In severe oedema, fragmentation of plasma membrane, enlargement and focal necrosis of rough endoplasmic cisterns and nuclear envelope, detachment of membrane-bound ribosomes, and reduction of polysome are found. Shallow and deep invaginations of plasma membrane, and the formation of endocytic and clathrin-coated vesicles are seen. In astrocyte cells, areas of focal necrosis and fragmented limiting plasma membrane, overdistended rough endoplasmic reticulum cisterns with extense degranulated membrane domains, and vacuoles of smooth endoplasmic reticulum with necrotic limiting membrane are observed. Oligodendroglia cells show notably edematous changes featured by lacunar enlargement of rough endoplasmic reticulum and nuclear envelope, detachment of membrane bound ribosomes, and discontinuous plasma membrane. Plastic changes and damage of synaptic membranes are found. Synaptic vesicle exocytosis and endocytosis at the non-specialized regions of presynaptic ending limiting membrane are frequently observed at activated synapses. In severe brain edema, synaptic disassembly occurs featured by wide separation of pre and postsynaptic membranes, and loss of peri synaptic astrocytic glial escheatment. Disruption, fusion and disassembly of interastrocytary gap junctions have also been observed. The endothelial cell luminal membrane of brain capillaries undergoes profound activity changes that characterize increased cerebrovascular permeability, such as increased formation of micro-and macropinocytotic vesicles, clathrin coated vesicles, and emission of pseudopods to form endothelial vacuoles. The alterations of nerve cell plasma membranes and cytomembranes are related with the anoxic-ischemic conditions of brain parenchyma. The role of free radical and lipid peroxidation, disturbed energy metabolism, altered metabolic cascades, glutamate excitotoxicity, haemoglobin toxicity, protein aggregation, and presence of extracellular oedema fluid are discussed in relation with the derangement of nerve cells membranes.