Bilateral Decompressive Craniectomy for Subdural Empyema: A Case Report.

Georgi Krasimirov Georgiev1, Nurfet Alioski1, Tihomir Eftimov1

  • 1Neurosurgery, Saint Anna University Hospital, Sofia, BGR.

Cureus
|April 27, 2026
PubMed
Summary

Bilateral decompressive craniectomy is a rare but potentially life-saving procedure for severe subdural empyema (SDE) with uncontrollable intracranial pressure. This aggressive surgical approach may be considered in extreme cases when standard treatments fail to manage refractory intracranial hypertension.