Introduction: Epidural hematomas are one of the most frequent complications of head injuries. Bifrontal epidural hematomas (BEH) are rare, are associated with high-intensity trauma, and are associated with high mortality. We present the clinical case of a patient with bifrontal epidural hematoma with a Glasgow Coma Scale of 6/15 on admission.

Clinical case: A 27-year-old male patient suffered a traffic accident while riding a linear motorcycle without protection, in an apparent alcoholic state. He was diagnosed with a multifragmentary depressed skull fracture and a bifrontal epidural hematoma, which extended to the temporoparietal region of the right side with a volume greater than 215cc and with a high risk of nailing. A bifrontal craniotomy and evacuation of the epidural hematoma were performed. The postoperative evolution was favorable despite a mild neurological sequela.

Conclusion: Bifrontal epidural hematoma is a rare clinical entity, and its prognosis depends on the preoperative neurological situation.