Traumatic brain injury (TBI) is one of the leading causes of death and disability worldwide, predominantly affecting young adults of working age and imposing a substantial social and economic burden. Its impact is greater in low- and middle-income countries such as Peru, where the high incidence of traffic accidents, urban violence, and limitations in healthcare infrastructurecontribute to increased morbidity and mortality. Despite advances in monitoring techniques and clinical and surgical management strategies, TBI continues to pose a complex clinical challenge due to the multifactorial nature of primary injury and the rapid progression of secondary injury. In recent years, advances in the management of TBI have led to the development of prognostic systems that surpass the predictive capacity of traditional scales. In addition to the Glasgow Coma Scale and the Marshall computed tomogra...