The patients admitted to the Accident and Emergency Department of the Medical Faculty of Istanbul for craniospinal trauma between 1/11/1996 and 31/10/1997 were prospectively evaluated. From 2520 patients that were consultated by Neurosurgery Department at the Emergency Department 459 patients were admitted to the wards. From this group 120 (%26) were women and 339 (%74) were men. Regarding the age distribution the patients between 0-16 ages consisted the major group (%51). %66 of the cases were referred from other medical facilities, whereas %44 of the appliances were directly made to our Emergency Department. %44 of the cases were admitted between the hours 08-16, %46 between 16-24 and %10 between 24-08. Regarding the causes of trauma falls (% 45) were in the first place followed by motor vehicle accidents (%42). %15 of the cases had trauma more than in one system. When the cases were compared regarding the Glasgow Coma Scale (GCS) at admission, %60 were between GCS 14-15, %26 were between GCS 9-13 and %14 were under GCS 8. %96 of the patients had cranial injuries, %3 had spinal injuries and %1 had both. From the operated 88 patients %34 were epidural hematoma and %20 were subdural hematoma. The time interval between admission and diagnosis in %78 of the cases were 0-2 hours and in %17ofthe cases 2-4 hours. %81 of the operated patients were operated on in four hours after the diagnosis was made. Regarding the outcome scale %75 were good, % 7 were moderate disabled, %4 were severly disabled and%13 were death.