Abstract Traumatic Brain Injury (TBI) is a big problem in the world because of high mortality and morbidity. TBI burdens approximately 600,000 people every year in USA. Head injuries are found in 17.6% of all trauma in-patients and are the most common cause of death after injury (26.6%) in Germany. Here we report anesthetic management in male, 19 yrs old, 65 kgs body wieght, diagnose was Epid…