Imaging for Asynchronous Bilateral Epidural Hematoma: A Case Report

Asynchronous bilateral hematomas are exceedingly rare and pose increased risk and challenge during surgical treatment. In this case report, a 31-year-old male patient was initially found to have only a large left-sided epidural hematoma which was subsequently evacuated. An immediate postoperative CT scan demonstrated a new right-sided epidural hematoma. Subsequently, the patient was returned to the operating room for immediate evacuation of the right-sided hematoma. Our team believes immediate-postoperative CT scans should be standard following epidural hematoma evacuation where there is any suspicion of contralateral fracture or bleeding.