Hematomas epidurais (HE) são lesões frequentes, com incidência entre 0,2 a 6% em pacientes internados após traumatismo cranioencefálico, sendo a maior incidência associada a pacientes portadores de traumas mais graves. A associação entre o HE e o hematoma intraorbitário é rara, sendo que não conseguimos encontrar na literatura nenhum relato de HE e hematoma intraorbitário bilateral. Relatamos o caso de um paciente de 32 anos com HE associado a hematoma intraorbitário bilateral, tratados cirurgicamente.

Extradural hematoma (EDH) is a frequent lesion, with an incidence varying from 0.2 to 6% in patients admitted to hospital due to traumatic head injury. The higher incidence is found in patients with more severe injuries. The association of EDH with subperiosteal intraorbital hematomas is rarely reported, and we were not able to find in the literature any report of traumatic bilateral intraorbital hematomas and EDH. We report this case of a 32 year-old man with bilateral intraorbital (subperiosteal) hematoma associated with unilateral EDH. The lesions were treated surgically, but unfortunately with an unfavorable outcome.