The article presents results of a complex clinico-neurological and radiological examination of 47 patients with posttraumatic chronic subdural hematomas. Clinical features of the course of chronic hematomas against the background of a severe cranio-cerebral injury are established. On the basis of an analysis of data of a complex examination and results of the surgical treatment, the indications to using different methods of surgery are specified. The optimum methods of surgical treatment of patients with chronic subdural hematomas were found to be minimally invasive operations.