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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
The Hospital Schwabing Munich is one of the oldest medical facilities in the Schwabing region with a history of over 100 years. The hospital is proud of the excellent state-of-the-art equipment, modern infrastructure, highly professional medical personnel and location in a picturesque park area. The medical complex is the academ
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The Municipal Hospital Karlsruhe is a modern maximum care medical facility, which combines a long tradition and the advanced achievements of modern medicine. The hospital operates on the basis of the University of Freiburg, so scientific innovations in the field of diagnostics and treatment are continuously introduced into pract
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The Hannover Medical School has the status of a leading German medical facility. The advanced medical technologies, highly qualified specialists, as well as productive research activities form a solid basis for top-class medical service of the world standard. The hospital is proud of its outstanding achievements in the treatment
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According to the reputable Focus magazine, the Hospital Cologne-Merheim ranks among the top German medical centers! The health facility is an academic hospital of Witten/Herdecke University, which gives patients access to the very latest developments in European medicine. The Hospital Cologne-Merheim positions itself as a maximu
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Hospital Kassel
Hospital Kassel
Overall rating9.9 / 10
The Hospital Kassel is a progressive medical facility with a huge medical team, which provides high-quality medical services in all branches of modern medicine. The hospital is part of the regional medical Gesundheit Nordhessen Holding, which unites 5 top-class medical centers, including specialized rehabilitation clinics. With
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The Meoclinic Hospital Berlin is one of Germany's most renowned multidisciplinary private hospitals offering top-class and patient-centered medical care. The hospital opened its doors to patients back in 2000 and today is deservedly proud of its vast experience. It has 28 specialized departments, each of which is responsible
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The Memorial Bahçelievler Hospital Istanbul is an advanced multidisciplinary medical center that began its clinical practice in 2018. It is part of the world famous Memorial Healthcare Group. The hospital was designed in accordance with the very latest standards of modern architecture with the aim of providing top-class m
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The Hirslanden Clinic La Colline Geneva is a multidisciplinary medical facility, where the patient will benefit from an impeccable quality of medical service, responsive care and a humane attitude. The clinic provides both inpatient treatment and outpatient care. There are 67 beds available for hospitalization. The basis of succ
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Nuremberg Hospital
Nuremberg Hospital
Overall rating9 / 10
According to the reputable Focus magazine, the Nuremberg Hospital ranks among the top German medical facilities! The hospital is one of the largest, highly specialized medical centers in Europe and positions itself as the maximum care hospital. The healthcare facility is an academic hospital of the Paracelsus Medical University
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The Hirslanden Clinic Aarau enjoys the status of one of the largest and most successful private medical facilities in Bern and Zurich. The clinic is part of the Hirslanden Network known in Europe, which is a provider of first-class medical services in Switzerland. The main areas of specialization of the clinic in Aarau include c
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The Asklepios Municipal Hospital Bad Wildungen positions itself as a modern medical facility, which is focused on the provision of high-quality medical services using state-of-the-art medical technologies and advanced treatment methods. The hospital pays great attention to an individual approach to each patient, which is the bas
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The Westpfalz Hospital Kaiserslautern is a modern maximum care medical facility, which guarantees a patient high professionalism, impeccable quality of medical care and a humane attitude. The hospital has more than 25 specialized departments and institutes, whose tasks include accurate diagnostics and effective treatment of almo
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Today, many people prefer healthcare in Europe, for example, in Switzerland. Medical infrastructure and a wide range of medical services in Swiss clinics, including Klinik Stephanshorn, provide optimal medical services. Our clinic offers exactly the treatment that meets all the parameters and the individual needs of the patient.
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The Helios Hospital Hildesheim positions itself as an advanced provider of high-quality medical services at the European level. The medical facility is an Academic Hospital of the Hannover Medical School, thanks to which it can successfully introduce the very latest medical achievements into clinical practice. The hospital is di
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According to the reputable Focus magazine, the Helios Hospital Berlin-Buch ranks among the top medical facilities in Germany! The clinic is proud of its rich history, which dates back over 100 years, as well as the status of a maximum care medical center with exceptionally high success treatment rates. The medical institution is
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The Hirslanden Clinic St. Anna Lucerne is a private medical facility, the primary task of which is to provide excellent quality medical services in accordance with the standards of modern medicine. The history of the clinic has more than 100 years, so it has gained a strong reputation not only in Switzerland, but also far beyond
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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