Background:Paediatric traumatic extradural hematoma (EDH) is a neurosurgical emergency requiring timely diagnosis and intervention. This study evaluates the clinico-radiological profile and outcomes of paediatric EDH cases from a single centre.Methods:A retrospective study was conducted on 32 paediatric patients with EDH. Data on demographics, mode of injury, clinical features, radiological findings, management, and outcomes were analysed. Glasgow Coma Scale (GCS) was used to assess prognosis.Results:Falls, including from heights, bicycles, and stairs, were the leading cause (78%), with males (84%) and the 11–18 years age group (66%) most affected. Vomiting (66%) and loss of consciousness (47%) were common symptoms. CT revealed fractures in 53% of cases, with the frontal and parietal regions being the most frequent EDH sites. While frontal and parietal EDHs had better outcomes, combined EDHs showed higher risks of moderate and poor outcomes. Conservative management was the primary approach (75%), while 22% required surgery. ICU admission (3%) was linked to the worst prognosis. Larger hematoma volumes (>40 mL) correlated with poorer outcomes.Conclusion:Paediatric EDH predominantly results from falls, with older children and males most affected. Early clinical and radiological evaluation is crucial for management. Conservative treatment is effective in most cases, whereas surgical intervention is needed for severe cases. Hematoma volume and location significantly influence prognosis.