In this paper, binary extremal self-dual codes of length 48 and extremal unimodular lattices in dimension 48 are studied through their shadows and neighbors. We relate an extremal singly even self-dual [48, 24, 10] code whose shadow has minimum weight 4 to an extremal doubly even self-dual [48, 24, 12] code. It is also shown that an extremal odd unimodular lattice in dimension 48 whose shadow has minimum norm 2 relates to an extremal even unimodular lattice. Extremal singly even self-dual [48, 24, 10] codes with shadows of minimum weight 8 and extremal odd unimodular lattice in dimension 48 with shadows of minimum norm 4 are investigated.