Acute epidural hematoma following decompressive surgery of a subdural hematoma

We report a patient with acute epidural hematoma diagnosed using computed tomography shortly after decompressive surgery of a contralateral subdural hematoma not resulting in clinical evidence of improvement. The patient underwent successful second emergency decompressive surgery. Prompt recognition is essential for a successful outcome, and poor recovery, when not otherwise anticipated, should alert immediately to a possible contralateral hematoma.