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Treatment of Spinal Cord Empyema

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Treatment of intramedullary spinal cord empyema with surgical removal
5252
Neurological rehabilitation Phase C
540

Hospital Neuwerk Moenchengladbach

10/10
location_onGermany, Moenchengladbach

Department of Spinal Surgery

The Hospital Neuwerk, which is in Moenchengladbach, has over 10 specialized operating departments. Located in the northern part of the city, the hospital has been a coordination center for the region for many years. The hospital has 310 comfortable beds for ist patients. Due to a wide range of medical services, the hospital offe
Treatment of intramedullary spinal cord empyema with surgical removal
14905 help13405

Catholic Clinic Koblenz-Montabaur

10/10
location_onGermany, Koblenz

Department of Spinal Surgery

The Catholic Clinic Koblenz-Montabaur positions itself as a modern medical facility, which provides high-quality diagnostics and treatment in accordance with the international standards. The medical complex is the Academic Hospital of the University Hospital Mainz, which gives patients the opportunity to have access to the most
Treatment of intramedullary spinal cord empyema with surgical removal
14990

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Neurosurgery

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Treatment of intramedullary spinal cord empyema with surgical removal
22180

Beta Klinik Bonn

9.7/10
location_onGermany, Bonn

Department of Neurosurgery and Interventional Neuroradiology

Beta Klinik is a modern hospital which consists of 30 specialized departments. The hospital is equipped with the state-of-the-art equipment of the university level. The operating rooms, an intensive care unit and the rehabilitation center correspond to the highest standards. It also concerns highly qualified physicians of the ho
Treatment of intramedullary spinal cord empyema with surgical removal
16863

University Hospital Freiburg

9.7/10
location_onGermany, Freibung

Department of Adult and Pediatric Neurosurgery

The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
Treatment of intramedullary spinal cord empyema with surgical removal
17296

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Neurosurgery

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Treatment of intramedullary spinal cord empyema with surgical removal
14996

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Neurosurgery, Spinal Surgery

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Treatment of intramedullary spinal cord empyema with surgical removal
16190

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Neurosurgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Treatment of intramedullary spinal cord empyema with surgical removal
16390

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Orthopedics

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Treatment of intramedullary spinal cord empyema with surgical removal
14991

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department for Adult and Pediatric Orthopedics, Trauma Surgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Treatment of intramedullary spinal cord empyema with surgical removal
19779

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Neurosurgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Treatment of intramedullary spinal cord empyema with surgical removal
19571
Treatment of intramedullary spinal cord empyema with surgical removal
19527

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Orthopedics and Orthopedic Oncology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Treatment of intramedullary spinal cord empyema with surgical removal
16888

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Neurosurgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Treatment of intramedullary spinal cord empyema with surgical removal
17190

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Neurosurgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Treatment of intramedullary spinal cord empyema with surgical removal
14394

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Treatment of intramedullary spinal cord empyema with surgical removal
16953

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Treatment of intramedullary spinal cord empyema with surgical removal
16841
| from Booking Health GmbH

Spinal cord empyema is a severe purulent inflammation that spreads to several segments. Unlike an abscess, the purulent process is not limited to the capsule, and therefore it can affect a significant part of the spinal cord. The disease is life-threatening. It requires intensive care, antibiotics, and operation.

Content

  1. Causes of spinal cord empyema
  2. Symptoms
  3. Diagnostics
  4. Treatment
  5. Why it is worth undergoing treatment abroad

Causes of spinal cord empyema

 

The cause of inflammation is the spread of bacteria from other foci of infection in the body. It can be inflammation of the ear, nasal sinuses, meninges (meningitis). Sometimes the infection is carried directly into the space near the spinal cord: during an injury, operation, or lumbar puncture.

The cause may be suppuration of the spinal cord hematoma, osteomyelitis, the spread of infection through the blood from any internal organs, for example, in case of pneumonia, pyelonephritis, cystitis, etc.

The causative agent is usually staphylococci. Less often, this can be streptococci, meningococci, anaerobes, fungal microflora.

Symptoms 

 

Depending on the location of the spinal cord empyema, the first symptom is back or neck pain. Then radicular syndrome appears. There is growing weakness in the legs or arms, loss of pain and temperature sensitivity, and pelvic disorders.

The thoracic and lumbar spinal cord is more often affected. But there are many other localizations, including empyema of the spinal cord of the cervical spine. With the development of the disease, the spinal cord and the roots of the spinal nerves are compressed. A person can also suffer from impaired circulation of cerebrospinal fluid and destruction of the spinal cord tissue with the development of irreversible neurological deficit.

The disease can develop very quickly and sometimes progress gradually over several weeks. When conducting a diagnostic examination of the patient, the doctor may detect redness in the area of inflammation, and on palpation, severe pain is felt. Systemic symptoms appear: fever, headache, malaise.

For purulent inflammation of the spinal cord, a staged course is characteristic. There are four clinical stages of the disease:

  • Stage 1 – back pain;
  • Stage 2 – radicular pain. 
  • Sage 3 – muscle and sphincter weakness, sensory disorders. 
  • Stage 4 – paralysis.

Diagnostics 

 

Instrumental diagnostics involve the use of CT and MRI. They allow for imaging the spinal cord, identifying an inflammation focus, determining its size and location.

It is important to identify the infectious agent in order to conduct targeted therapy. For this purpose, a bacteriological study is carried out. Blood culture is usually done, and cerebrospinal fluid culture is also possible. To obtain it, a lumbar puncture is used. If its performance is impossible, the puncture is made not in the lumbar region, but under the occipital bone.

Treatment 

 

The treatment can be either conservative or surgical:

Goals of treatment: 

  • Suppression of infection.
  • Elimination of a purulent focus.
  • Elimination of spinal cord compression. 
  • Prevention of complications, such as heart attack (ischemic stroke) of the spinal cord due to vascular compression and thrombosis, inflammation of the brain and its meninges (meningitis, encephalitis).

Spinal cord empyema is a serious, potentially fatal disease. Those patients who survive often develop neurological deficits. Therefore, it is worth undergoing treatment as early as possible.

Immediately after the patient is admitted to the hospital, antibiotic therapy is started. Typically, doctors use at least two broad spectrum drugs that cover most infectious agents. Medicines are administered intravenously. After receiving the results of a bacteriological study with an assessment of the sensitivity of the isolated flora to antibiotics, doctors can adjust antibiotic therapy.

The operation is performed as early as possible. The main intervention is decompressive laminectomy. The doctor removes the arch of several vertebrae. He opens and drains a purulent focus. It is possible to implant a flow-washing drainage. Periodically, the wound is washed with antiseptics to suppress microflora.

Why it is worth undergoing treatment abroad 

 

For neurosurgical operations, many patients prefer to travel abroad to undergo treatment in one of the best clinics in the world. Spinal cord operations are complex and not always safe. It is important not only to sanitize the purulent focus, to ensure its washing and suppression of microflora, but also to make the surgical intervention as sparing as possible, so as not to cause neurological deficit, and not to disturb the stability of the spine.

Foreign specialists cope with this task. There are several reasons why you should undergo treatment at one of the clinics abroad:

  • State-of-the-art equipment. 
  • The world's best spinal surgeons. 
  • Individual choice of antibiotics based on the sensitivity of the isolated microflora.
  • Minimal spinal trauma rate during surgery.
  • Preservation or restoration of the stability of the spinal column.
  • Low risk of complications.
  • Full rehabilitation.

After timely treatment, the spinal cord functions can be completely restored. If a neurological deficit develops, doctors try to minimize it. After recovering abroad, one can undergo rehabilitation. Full recovery will restore limb mobility, tissue sensitivity, and regain control over bowel movements, and urination.

To undergo spinal cord empyema treatment abroad, please use the services of Booking Health. We will help you find the most suitable empyema clinics and take care of the organization of your trip. On the Booking Health portal, you can compare prices and book a medical care program at a beneficial price. Due to the lack of additional coefficients for foreign patients, the cost of treatment for you will be lower.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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