Is Surgery Advocated in M1 Extradural Hematoma, or Is It Not?—A Case Report

Abstract Pediatric EDH (extradural hematoma) following trauma is a well-known surgical entity with early diagnosis and treatment reducing morbidity and mortality. It is custom not to suggest surgery for a patient with traumatic EDH with a Glasgow Coma Scale (GCS) of E1M1Vt, with no cough or gauge reflux. Case history: a 5-year-old school-going girl presented with posttraumatic temporo-parietal EDH with GCS of E1M1Vt with fixed dilated right pupil. The patient denied surgery due to poor recovery and a high rate of morbidity and mortality. Hospital course: with the patient being young and just a ray of hope, surgery was performed. To a surprise, she completely recovered and was discharged with residual weakness in her left upper and lower limbs and was able to return to her daily work/school. At follow-up, she was able to perform all the daily routine work with residual weakness and required help from others to perform complex tasks. This rare case is being reported because the patient improved from M1 to M6 and returned to school, which was a rare event, and many had lost hope; even literature is scarce to justify this approach.