Background: Head injury is public health threat that is recognized as causing death and impairment. It reflects a deplorable financial burden on developing countries. Objective: The aim of the present study was to evaluate surgical outcomes of traumatic extradural (or epidural) hematoma (EDH). Patients and methods: this study included 100 cases with acute traumatic extradural hematoma who admitted to Neurosurgery Department, Zagazig University Hospitals. Glasgow coma scale score was assessed pre- and postoperatively. Results: The mean age of the studied patients was 35.2± 15.9, 66% of cases were males. According to the mechanism of trauma, 33% had road traffic accidents, 64% had head injury from fall and 3% had head injury from assault among studied patients. Regarding site of hematoma, 15 % was frontal; 36% was temporo-parietal; 33% was posterior fossa. The mean hospital stay was 14.2±5.6 days. Conclusion: The prognosis of patients with DEH has been shown to be improved by early diagnosis and immediate treatment.