An epidural hematoma (EDH) is a potentially life-threatening intracranial hemorrhage (ICH) that may require emergency neurosurgical intervention to prevent rapid clinical decline. This case report discusses the presentation, diagnosis and neurosurgical intervention of an adult male who presented unresponsive and was found to have a right-sided epidural hematoma along with a left-sided subdural hematoma requiring surgical placement of an extra-ventricular drain. Although most epidural hematomas are easily visible on non-contrast computed tomography (CT), it is important to be able to recognize key diagnostic findings that separate epidural hematomas from other types of intracranial hemorrhages. While many are managed without surgery, it is important to know the presentation, progression, and diagnostic criteria that may warrant neurosurgical intervention to combat the effects of an expanding hematoma and increasing intracranial pressure.TopicsEpidural Hematoma (EDH), Intracranial Hemorrhage (ICH), Traumatic Brain Injury (TBI).