Traumatic cerebrovascular injury (TCVI) are rare, severe and dangerous complications of traumatic brain injuries. Current data suggests they accompany less then 2% of severe traumatic brain injuries. Most common forms of TCVI are formation of traumatic pseudoaneurysms and dural arteriovenous fistulas, less frequent — traumatic occlusions, intersections and some others. This pathology complicates the course of traumatic brain injury, decreases quality of life and prognosis, and requires complex diagnosis and treatment strategy. The authors describe a rare case of traumatic posterior cerebral artery occlusion in a patient injured in a road traffic accident and provide literature review on modern concepts of TCVI.