Traumatic brain injuries occur in a wide variety of ways due to the mechanism of injury or variation in the circumstances of the injury, or the magnitude of the violence. Traumatic brain injuries often cause varying degrees of permanent dysfunction. This depends largely on whether the damage is in a specific area of brain tissue (focal) or widespread (diffuse). Different areas of brain damage can cause different symptoms. Focal symptoms include motor, sensory, speech, visual, and auditory abnormalities. Diffuse brain damage, on the other hand, often affects memory, sleep or leads to confusion and coma. If the traumatic brain injury is mild, it can be observed conservatively or even left untreated. Severe traumatic brain injuries may even require a great deal of treatment, including debridement, craniotomy, and micro-perforation drilling, which are all forms of traumatic brain injury treatment. The treatment of each traumatic brain injury is based on the patient’s signs and symptoms, as well as the imaging manifestations. The imaging manifestations are mainly based on a CT, or even an MRI, to see the size of the hematoma volume. If the hematoma is large enough to break through the body’s natural compensatory mechanism, craniotomy is required to remove the hematoma. If the cranial damage is already an open craniocerebral injury, the open injury has to be turned into a closed injury. So there is no such thing as a simple how to treat a cranial brain injury, this is based on each person’s symptoms, signs, and imaging manifestations, to develop a specific program.