This is an overview of the experience of the author during 18 years of civil strife in Lebanon. What can be worse than brain missile injury is the psychologic effect on the people caused by such wars. Unfortunately, these wars are common and have been going on uninterruptedly since World War II. With an experience of more than 1,000 cases, the author has attempted to give a simple classification of these injuries and presents the essence of their treatment. Four main topics are discussedcolon; 1) craniotomy versus craniectomy; 2) the importance of retained fragments in the brain; 3) traumatic aneurysms; and 4) a rapid, easy, and helpful grading system.
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