{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T12:44:21Z","timestamp":1755693861958},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>Although multiple concurrent spinal arteriovenous fistulas (DAVFs) are a well-known anatomical and clinical entity, the management of these lesions and timing of surgical intervention is still a matter of debate.<\/jats:p><jats:p>A 74-year-old man with a 2-year history of progressive weakness of both lower limbs and lower back pain was diagnosed angiographically with a thoracic DAVF. During the surgical procedure, double independent spinal DAVFs were identified. With the aid of neurophysiologic monitoring, we proceeded to the closure of both fistulas in a one-step surgery.<\/jats:p><jats:p>Neurophysiologic monitoring represents a valid, widely available, minimally invasive tool for the detection of immediate motor fiber damage due to disruption of the incorrect vessels during DAVF surgery and facilitates a safe treatment in a one-step procedure.<\/jats:p>","DOI":"10.1055\/s-0039-1683446","type":"journal-article","created":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T23:09:11Z","timestamp":1554851351000},"page":"325-332","source":"Crossref","is-referenced-by-count":2,"title":["Simultaneous Diagnosis and Treatment of Double Synchronous Spinal Cord Vascular Malformation"],"prefix":"10.1055","volume":"80","author":[{"given":"Delia","family":"Cannizzaro","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Humanitas Clinical and Research Center, Rozzano (MI), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Pia","family":"Tropeano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Humanitas Clinical and Research Center, Rozzano (MI), Italy"},{"name":"Department of Neurology and Psichiatry, \u201cLa Sapienza\u201d University of Rome, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Fornari","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Humanitas Clinical and Research Center, Rozzano (MI), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco","family":"Servadei","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Humanitas Clinical and Research Center, Rozzano (MI), Italy"},{"name":"Department of Neuroscience, Humanitas University, Rozzano, Lombardia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Cardia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Humanitas Clinical and Research Center, Rozzano (MI), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,4,9]]},"container-title":["Journal of Neurological Surgery Part A: Central European Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1683446.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T22:43:11Z","timestamp":1560811391000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1683446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,9]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2019,6,17]]},"published-print":{"date-parts":[[2019,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1683446","relation":{},"ISSN":["2193-6315","2193-6323"],"issn-type":[{"value":"2193-6315","type":"print"},{"value":"2193-6323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,9]]}}}