In three cases, there was an injury of primary carotid artery, and in one case a wound of bifurcation with a large destruction of vessels. In one, there was an A.V. fistula as shoot by the pre of angiogram. Only one patient was in light coma with right hemiplegia and aphasia. Repair was done with a simple suture in one, with a resection and a suture in an other. In two cases an inversed venous grafting was done. In all 4 cases results were satisfactory without any neurologic sequellae.