We present a 51-year-old patient who sustained multiple brain injuries after falling from a height of 5 meters. The patient was treated conservatively with barbiturate sedation, antiedematous and other supportive therapy. He recovered well. However, fifteen days after injury control, a brain-computer tomography (CT) scan revealed a posterior cranial fossa epidural hematoma on the right side, without signs of brain compression and midline shift. Since the patient was in good condition, without complaints, and with normal neurological findings, and since de novo hematoma didn’t show signs of brain compression, he was observed for a few days and discharged from the hospital in good condition. According to the literature, and which is in our case, occipital bone fracture, antiedematous therapy, and sedation are risk factors for delayed posterior fossa epidural hematoma occurrence after traumatic brain injury, so in similar circumstances, we suggest more frequent control brain CT scans. The most common localization of the epidural hematoma is in the temporal region due to middle meningeal artery injury in temporal bone fractures. Other localizations of epidural hematomas are rare. Posterior cranial fossa epidural hematomas are exceedingly uncommon findings. Also, most epidural hematomas have an acute clinical picture, and delayed epidural hematomas are atypical. So, delayed posterior cranial fossa epidural hematomas are unique findings with an incidence of less than 0.1% of all epidural hematomas.

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