The early and aggressive management of extradural hematomas (EDH) is a classical teaching during neurosurgery residency.[1] [2] [3] Posttraumatic seizures (PTS) after EDH share a significant percentage of causality, but apparently remain a less studied entity. The major literature analyzing EDH with PTS dates back to the late 20th century and there are only a couple of recent studies.[4] [5] [6] [7] Additionally, an often-debated issue is the role of prophylactic antiepileptic drugs (AEDs) in patients suspected of having high chances of developing PTS.[8] [9] Uniform use of AEDs in all cases can lead to drug-related side effects and complications and in some cases unnecessary AED dependence.[9] [10]