Cranio-cerebral trauma belongs to the most frequently performed examinations in the all emergency and trauma centers. Fast and exact diagnostics of the brain or neurocranium trauma type is crucial for early beginning of the treatment of the victim. The authors present their three-years experience with the cranio-cerebral trauma assessment with the sixteen-detector-row computed tomography and evaluate the increased quality of the diagnostics. Multi-detector examination does not lead to fundamental changes to imaging of the brain damage itself, but it exceptionally contributes to easier the evaluation of the skeleton injury including simultaneous evaluation of the facial skeleton and explanation of the symptoms arising from the injury of the neural or vascular structures passing through the basis cranii interna.

        Key words: cranio-cerebral trama – MDCT