Objective. To evaluate patients who developed hydrocephalus following a severe traumatic brain injury in connection with the monitoring of intracranial pressure (ICP) during the acute stage of brain trauma. Methods. There were studied 25 patients with severe head injuries and GCS score of 7 to 4, age between 20 and 60 years, who underwent ICP monitoring and cerebral perfusion pressure (CPP) monitoring. Sixteen surviving patients were followed for 12 months and the development of the post–traumatic hydrocephalus was found at five patients. Conclusions. The analysis of the data of this study shows some observations: Mortality in severe traumatic brain injuries is correlated with a low GCS score, high ICP values and arterial hypotension. The favorable outcome is in connection with a high initial GCS score, a decrease of ICP and normal values of cerebral perfusion pressure. There were five cases of moderate post-traumatic hydrocephalus and these cases of hydrocephalus have stabilized and did not need a surgical intervention
