Aims: To analyze the clinical presentation and management outcome of patients operated for extradural hematoma (EDH). Methods and Material: This prospective study includes 253 patients operated for EDH in the Department of Neurosurgery of IMS – BHU, Varanasi, India, between 1 August 2018 and 1 November 2019. Each of the patients were evaluated in term of localization of haematoma, clinical presentation, CT findings, operative measures and outcome. Chi–square test and unpaired t–test were used for statistical analysis. Results: In the present study, largest number of patients operated for EDH belong to age group of 31–40 years (26.09 %). Temporo–parietal (23.71%) was most common site and most recovered well GOS of 5 (good recovery). GCS before surgery was the single most important predictor of outcome (p <0.05). Conclusions: The significant CT scan factors associated with unfavorable outcome are greater clot volume, greater clot thickness, midline shift and poor GCS.