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Subdural Empyema - Best Hospitals, Doctors, Prices - Booking Health

Treatment of Subdural Empyema

Subdural empyema | Information about hospitals and doctors | Rankings | Clinics | Prices | Send request to the hospital

Best hospitals and doctors for subdural empyema treatment abroad

Leading hospitals

Cost for treatment

Surgical removal of subdural empyema
17823.17
Neurological rehabilitation Phase C
2000
According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
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According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
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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
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According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
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The University Hospital Giessen UKGM positions itself as an ultramodern medical facility with outstanding quality of medical care. The hospital presents almost all areas of medicine, ranging from ophthalmology to traumatology and dentistry. The priorities of the hospital’s activities include surgery, neurosurgery, oncology
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The University Hospital Saarland Homburg is the largest hospital in the city of Homburg and the most important medical facility in the region. The hospital, which currently has 30 specialized departments and 20 institutes, was founded in 1947 and operates on the basis of Saarland University. The hospital plays a leading role in
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The Alfried Krupp Hospital in Essen-Ruettenscheid began its work back in 1870, and large-scale restoration took place here in 1980. The medical facility is an academic hospital of the University of Duisburg-Essen, thanks to which it has access to innovations in the medical field, and also makes its own contribution to the develo
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The University Hospital HM Monteprincipe Madrid is rightfully recognized as one of the best and most advanced medical facilities in Madrid and throughout the whole country. The hospital was opened in 1998 and in a short time has become a worthy example of top-class medical services. The hospital is part of the HM Hospitales Grou
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The Bundeswehr Hospital Berlin enjoys a reputation as one of the leading medical facilities in Germany, where patients receive top-class medical care corresponding to the high standards of European university medicine. The medical center is an academic hospital of the Charite University Hospital Berlin – the largest and th
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According to the reputable Focus magazine, the Hospital Bogenhausen Munich ranks among the ten best medical centers in Bavaria and among the top 50 medical facilities in Germany! The medical facility is the Academic Hospital of Ludwig Maximilian University of Munich. The modern hospital with the highest level of services annuall
The Memorial Sisli Hospital Istanbul is the largest and leading medical complex in Turkey, which meets the highest standards of medical care when providing the advanced diagnostics and treatment using the very latest methods. The hospital is part of the Memorial Health Group – it was the first project of this provider of m
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University Clinic of Neurology specializes in the surgical treatment of acute and chronic diseases of the central and peripheral nervous system, its blood supply, and nerve sheaths, as well as in preoperative and postoperative care for patients. Tumor formation of the brain and spinal cord, vascular diseases of the central nervo
The Tel Aviv Sourasky Medical Center is the second largest and one of the most advanced healthcare and research facilities in Israel. It began its work in 1961, but it is still popular among the local population and attracts thousands of international patients. The multidisciplinary medical center covers an area of ​​150,000 m&s
Sana Hospital Duisburg
Sana Hospital Duisburg
Overall rating9.8 / 10
The Sana Hospital Duisburg is a maximum care medical center with 678 beds and 17 specialized departments. With the very latest innovations and high quality patient care, the clinic works for the benefit of a person and their health. The hospital ranks among the leading clinics in the region. In 2013, the hospital
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The Primus Super Speciality Hospital New Delhi is a modern medical facility, which is distinguished by extremely high quality and standards of medical service. The hospital is located in the heart of New Delhi, in the capital of India. During its design and construction, the most advanced medical technologies from around the wor
HELIOS Clinic Krefeld
HELIOS Clinic Krefeld
Overall rating9.7 / 10
Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently. Having crossed the threshold
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About the disease

An empyema is an abscess, which is the accumulation of pus in an anatomical cavity. A subdural empyema is a subtype of empyema, and forms in the subdural area outside the brain.

Subdural space can form as a result of a separation of the membranes that connect the brain and spinal cord. Such separation usually occurs after trauma or if there is not enough cerebrospinal fluid in the patient’s brain. Membrane separation can also be a pathological process.

95% of subdural empyema cases develop in the cranium and sometimes in the frontal lobe or spinal neuraxis. According to American website Medscape, subdural empyema accounts for 15-22% of all intracranial infections. Before the introduction of penicillin, this disease was terminal. These days, survival rates are a lot better. In developed countries, the mortality rate reaches 6-35% depending on the time of diagnosis and when the treatment began.   

Subdural empyema is most often caused by infectious diseases such as meningitis, otitis and mastoiditis. Infection usually spreads throughout the whole subdural space. If not treated, it can also affect the middle ear and sphenoid sinus.

For reasons as yet unclear, 80% of subdural empyema cases occur in males, predominantly in children and middle-aged men.

Symptoms

  • Fever
  • Headaches
  • Blurred vision
  • Nausea
  • Torpor
  • Drowsiness
  • Difficulty speaking and forming thoughts

Diagnosis

  • A blood test is conducted to determine the number of white and red blood cells.
  • MRI and other imaging tests provide precise images of the intracranial area and show if there are hypodense holes or formations, which could indicate empyema.
  • A cranial CT scan is also widely used, as it generates contrast-enhanced images of the hemispheres, where the brain margins are distinctly delineated.

Treatment

In most cases, patients are recommended to undergo the surgical removal of the subdural empyema once it has been found. Before the surgery, a patient needs to submit a liver function test and get prepared. The following are surgical procedures to treat subdural empyema:

  • A craniotomy is used to assess and remove the empyema. A section of skull is removed to gain access to the brain.
  • Neurosurgical drainage is used if the patient’s condition is critical and immediate treatment is required. During this procedure, the empyema is drained completely.
  • Debridement, which is the removal of infected tissue, is also used to eliminate empyema.

If there are contraindications to surgery, the patient may be prescribed only antibiotics. 

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed