Acute epidural hematoma following epileptic seizures

In cases of acute cranial epidural hematoma following trauma incurred during a major motor seizure, the symptoms and signs of the hematoma can be erroneously attributed to the postictal state. Since delay in diagnosis commonly leads to a poor or fatal outcome, an expanding mass should be suspected when status epilepticus, focal seizures, or postictal neurological deficits appear in an epileptic who has not previously had these symptoms.