During at two-year period, six full term neonates were operated in order to evacuate large intracranial haematomas. They were all critically ill at the time of surgical intervention, but responded well to neurosurgery. The clinical results after 9-28 months follow-up are very gratifying. When anisocoria with unilateral fixed, dilated pupil, hemiplegia or failure of spontaneous ventilation occurs, there is limited time for diagnostic CT scans and evacuation of the haematoma.