{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,2,11]],"date-time":"2024-02-11T11:43:20Z","timestamp":1707651800269},"reference-count":16,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nFocal suppurative bacterial infections of the central nervous system (CNS), such as subdural empyemas and brain abscesses, can occur when bacteria enter the CNS through sinus fractures, head injuries, surgical treatment, or hematogenous spreading. Chronic cocaine inhalation abuse has been linked to intracranial focal suppurative bacterial infections, which can affect neural and meningeal structures.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nWe present the case of a patient who developed a cocaine-induced midline destructive lesion, a vast bilateral paraclinoidal subdural empyema, and intracerebral right temporopolar abscess due to cocaine inhalation abuse. The infection disseminated from the nasal and paranasal cavities to the intracranial compartment, highlighting a unique anatomical pathway.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThe treatment involved an endoscopic endonasal approach, followed by a right frontal-temporal approach to obtain tissue samples for bacterial analysis and surgical debridement of the suppurative process. Targeted antibiotic therapy helped restore the patient\u2019s neurological status.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_965_2023","type":"journal-article","created":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T09:38:50Z","timestamp":1707471530000},"page":"42","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Massive bilateral paraclinoidal subdural empyema and parenchymal temporopolar abscess with anatomical infection pathway in a chronic inhaling cocaine-addicted patient: A case report and literature review"],"prefix":"10.25259","volume":"15","author":[{"given":"Giuseppe","family":"Corazzelli","sequence":"first","affiliation":[{"name":"Department of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University, Naples, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Corvino","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University, Naples, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulio Di","family":"Noto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Messina University - Policlinico G. Martino, Messina, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristiana","family":"Germano","sequence":"additional","affiliation":[{"name":"Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University, Naples, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simona","family":"Buonamassa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Santa Maria delle Grazie Hospital, Pozzuoli, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore Di","family":"Colandrea","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine, Santa Maria delle Grazie Hospital, Pozzuoli, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaele de","family":"Falco","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Santa Maria delle Grazie Hospital, Pozzuoli, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Bocchetti","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Santa Maria delle Grazie Hospital, Pozzuoli, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,2,9]]},"reference":[{"key":"10.25259\/SNI_965_2023\/ref-1","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1007\/s11908-013-0384-7","article-title":"Bacterial infections of the central nervous system","volume":"15","author":"Busl","year":"2013","journal-title":"Curr Infect Dis Rep"},{"key":"10.25259\/SNI_965_2023\/ref-2","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/S0196-0644(94)70165-2","article-title":"Hyperthermia in psychostimulant overdose","volume":"24","author":"Callaway","year":"1994","journal-title":"Ann Emerg Med"},{"key":"10.25259\/SNI_965_2023\/ref-3","first-page":"e1745","article-title":"A case of 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