brain, spinal cord, and nerve disorders
Intracranial Epidural Abscess and Subdural Empyema
Treatment
Drainage of the pus Antibiotics and sometimes other drugs In infants, a needle can sometimes be inserted directly into the abscess or empyema through a fontanelle (a soft spot between the skull bones) to drain the pus, relieve pressure, and help doctors make the diagnosis. Epidural abscesses and subdural empyemas must be drained surgically. If the infection occurred because of an abnormality in the sinuses or middle ear, the surgeon may need to repair the abnormality at the same time. Antibiotics (such ascefotaximeorceftriaxone,metronidazole, andvancomycin) are given intravenously. Antiseizure drugs to control seizures and measures to reduce pressure within the skull may be needed. These measures include the following: Use of diuretics, which reduce the amount of fluid in the body Corticosteroids, which reduce inflammation and swelling 