Epidural hematoma is seen in 1 to 9 % of all head injuries, and usually occurs unilaterally. Bilateral Epidural hematoma is an uncommon condition and consists of 2-10 % of all acute Epidural hematomas in adults. Acute supra- and infratentorial epidural haematoma is infrequent lesion and only a few articles were published in the literature. The presence of infratentorial haematoma which leads to sudden death and quick deterioration and complication is more significant than supra tentorial that can mask the features of infratentorial Epidural hematoma. We encountered with such a case in which a 35 years male was referred to our hospital after a traffic accident in an unconscious condition and operated successfully. This case is being presented with a brief review of literature.

Keywords: Epidural haematoma, head injury, supratentorial, infratentorial