Introduction: Head trauma is a major public health problem and a major cause of morbidity and mortality, particularly in young adults. Objective: To clarify the interest of computed tomography in the management of cranioencephalic trauma in the radiology and medical imaging department of the CHU GT. Methods: This was a retro and prospective study of 5 months ranging respectively from January to March 2010 on 103 cases, from August to November 2010 on 12 cases and concerned 115 patients who came for a CT scan in a context of traumatic brain injury. Results: The average age was 26.6 years with extremes from 4 years to 65 years. The sex ratio was 4.7%. Road accidents accounted for 80.9% of cases. All patients with computed tomography abnormalities, fractures of the vault represented 74.1% of cases, the base with 17.2% and in 8.5% of cases the fracture concerned both the vault and the base. The linear fracture interested the arch in 39.6% of cases. Pericerebral lesions were dominated by meningeal hemorrhage and extradural hematoma with 63.2% and 22.8% of cases. Hemorrhagic edema accounted for 81.7% of intracerebral lesions and in 12% of cases, intracerebral lesions were associated. Based on these data 48.3% of patients were operated on in neurosurgery. The mortality rate was 7.8%. Conclusion: CT remains the examination of choice in the management of craniocerebral trauma.