The dawn of neurosurgery can be traced back to the first description preserved in the Edwin Smith papyrus' (3000 Be) which dealt with head and spinal injury. In the course of 5000 years, since the first record in Egypt, advances in lifestyle and technology have brought about our modern civilized society. However, as a result of civilization, currently the total number of severe head injuries worldwide is believed to exceed 10000000 and the number of severe spinal injuries is believed to be more than 75 000 each year. This means that central nervous system injury is not only the oldest topic in neurosurgery, but that it is also of critical importance in modern life. Taking these problems into consideration, the International Neurotraumatology Committee was organized in 1965 as an affiliated Committee of the World Federation of Neurosurgical Societies. The first scientific meeting was convened by the Committee in Marseilles in 1970. Nine further meetings were subsequently held, in Europe, Africa, and South America. The meeting was first named "International Conference on Recent Advances in Neurotrauma tology" (ICRAN) by Professor Phillip Harris, when the scientific meeting was held in Edinburgh in 1982. The tenth meeting, (ICRAN 1992), the first one in Asia, was held at Karuizawa, Japan, from September 23rd to 26th, 1992.

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Inhaltsangabe1-Presidential Lecture.- Protective Effectiveness of Safety Helmets - Its Limitations in Preventing Diffuse Brain Injury.- 2-Prevention of Neurotrauma.- The Management of Acute Neurotrauma in Rural and Remote Locations - A Set of Guidelines for the Care of Head and Spinal Injuries.- Understanding Head Impact Tolerance as an Aid in Injury Prevention.- Countermeasures Against Head Injuries in Car Accidents.- 3-Disaster Assistance in Neurotrauma.- The Organization of Health Care in Civilian Disasters.- 4-Chronic Subdural Hematoma.- An Experimental Chronic Subdural Hematoma in Dogs - with a Brain Atropy Model.- Significance of Cholesterol Metabolites in Chronic Subdural Hematoma.- The Role of the Kallikrein-Kinin System in Chronic Subdural Hematoma.- Histochemical Profile of Chronic Subdural Hematoma from a Wound Healing Viewpoint.- The Role of Platelet-Activating Factor (PAF) in the Development of Chronic Subdural Hematoma.- Significance of Platelet-Activating Factor (PAF) and PAF - Acethylhydrolase in the Pathogenesis of Chronic Subdural Hematoma.- Coagulation and Fibrinolysis in Chronic Subdural Hematomas.- Fibrinolytic Activities of the Chronic Subdural Hematoma and Efficacy of the Antifibrinolytic Agent for the Chronic Subdural Hematoma.- Chronic Subdural Haematoma Experience with 2245 Cases.- Evaluation of Cerebral Blood Flow by SPECT in Patients with Chronic Subdural Hematomas.- Evolution from Acute Subdural Hematomas to Chronic Subdural Hematomas.- Chronic Subdural Hematoma Secondary to Traumatic Subdural Hygroma: Consequence or Coexistence?.- Development of Chronic Subdural Hematomas from Acute Thin Subdural Hematomas: Determinants of Their Evolution.- Surgical Treatment of Chronic Subdural Hematomas in Adults.- Consideration of Pathophysiology of Chronic Subdural Hematoma by Measurements of Cerebral Blood Flow Intracranial Pressure and EEG Topography.- Analysis of Intracerebral Stress Distribution and Its Effect on Regional Blood Flow in Chronic Subdural Hematoma.- Chronological Change in Biomechanical Indices of Chronic Subdural Hematoma During and After Closed Drainage - When Should Fluid Drainage Cease?.- Evolution of Surgical Treatment of Chronic Subdural Hematomas.- Chronic Subdural Hematoma in Adults as Compared with Aged Group.- Development and Treatment of Chronic Subdural Hematoma.- Chronic Subdural Hematoma Associated with Middle Cranial Fossa Arachnoid Cyst. Is Cyst Peritoneal Shunt Treatment of Choice?.- The Relationship Between Cephalic Index and Chronic Subdural Hematoma.- Analysis of MR Findings on Initial Stage of Chronic Subdural Hematoma - Evaluation of Proton Density Image.- Chronic Subdural Hematomas: Pathophysiological Studies with MR Imaging and SEP.- Antifibrinolytic Therapy of Chronic Subdural Hematomas.- The Treatment of Chronic Subdural Hematoma by Burr-Hole Craniostomy with or without Irrigation and Closed-System Drainage.- Analysis of 150 Cases with Chronic Subdural Hematoma in Adult on the Factors Related to Functional Outcome.- Postoperative Morphological Recovery of Deformed Brain in Cases with Chronic Subdural Hematoma: The Difference Between a Burr Hole Closed Drainage and a Burr Hole Irrigation.- Clinical Study on Recurrent Chronic Subdural Hematoma.- Zero Postoperative Recurrence Rates in Chronic Subdural Hematoma.- 5-Neuroimaging in Central Nervous System Injury.- MRI Analysis of Cerebral Contusions: Significance of Intraparenchymal Fluid-Blood Interface.- Assessment of Brainstem Distortion Associated with Supretentorial Lesions by Magnetic Resonance Imaging.- Significance of Magnetic Resonance Imaging (MRI) in Diffuse Axonal Injury.- MRI in Surgically Treated Cases of Post-Traumatic Cervical Myelopathy and Radiculopathy.- Diffuse Axonal Injury Caused by Traffic Accident - Long Term Serial CT Findings and Medicolegal Problem.- Comparison of MRI and X-ray CT Scan Findings in Patients with Serious Neurological Deficits Due to Head Injury.- The Clinical Study of Severe Diffuse Axonal Inju