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.