Background: Extradural hematomas are neurosurgical emergencies and are one of the most common causes of mortality and disability after traumatic brain injury. This study aimed at evaluating the factors that influence management strategy and outcome in patients treated for EDH. Method: A total of 74 patients who were admitted in Neurosurgery Unit, S.N. Medical College and Hospital, Agra and diagnosed with EDH between 2018 to 2022 were included in this study. Discussion: 40 patients in group-1 managed conservatively out of which 36(90%) patients shows good outcome and 4(10%) patients shows poor outcome. 32 patients in group-2 treated by surgical evacuation of hematoma, 27 out of 32 patients shows good outcome, 4 patients shows poor outcome and in 1 patient mortality occurs. Conclusion: Good GCS score at presentation may be determining factor in deciding the management strategy.