{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T19:19:40Z","timestamp":1784229580899,"version":"3.55.0"},"reference-count":42,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"7","license":[{"start":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T00:00:00Z","timestamp":1676246400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,13]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Spinal dural arteriovenous fistula (SDAVF) is a rare disorder with an unknown etiology. Often, the clinical presentation and imaging findings are misleading, causing this condition to be mistaken for other entities, such as demyelinating or degenerative spinal lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors report a challenging case of SDAVF in which the patient\u2019s symptoms were initially thought to be attributable to a herniated disc based on his imaging studies at another institution. He sought the authors for a second opinion, which yielded a confirmed diagnosis of SDAVF. Due to his rapidly progressive neurological manifestations, he underwent a surgical division of the fistula using intraoperative video angiography via indocyanine green injections. His symptoms progressively improved over a 3-month period. He regained full sphincter control by 4 months, which gave him a better recovery than seen in other patients with SDAVFs, who do not generally fully regain sphincter control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>SDAVF is a critical spinal vascular pathology that should not be overlooked in the differential diagnosis of any patient presenting with signs of progressive myelopathy. Despite its associated vague initial clinical symptoms, SDAVF typically, but not always, demonstrates a characteristic imaging appearance on magnetic resonance (MR) imaging studies; therefore, MR angiography is still required for definitive diagnosis. Surgical treatment for SDAVF is almost always definitive and curative.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case22567","type":"journal-article","created":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T07:53:52Z","timestamp":1676274832000},"source":"Crossref","is-referenced-by-count":3,"title":["Spinal dural arteriovenous fistula masquerading as a herniated disc: illustrative case"],"prefix":"10.3171","volume":"5","author":[{"given":"Moustafa A.","family":"Mansour","sequence":"first","affiliation":[{"name":"Departments of Neurology and Neurologic Surgery and"},{"name":"Division of Neuro-Intensive Care, Dar Al-Fouad Medical Corporation, Cairo, Egypt; and"},{"name":"Emergency Medicine and Critical Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dyana F.","family":"Khalil","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine and Critical Care, Dubai Healthcare City, Dubai, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soliman","family":"El-Sokkary","sequence":"additional","affiliation":[{"name":"Departments of Neurology and Neurologic Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa A.","family":"Mostafa","sequence":"additional","affiliation":[{"name":"Departments of Neurology and Neurologic Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad A.","family":"Ayad","sequence":"additional","affiliation":[{"name":"Departments of Neurology and Neurologic Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"3","key":"b1","series-title":"J Neurosurg Spine","first-page":"238","article-title":"Blood supply and vascular reactivity of the spinal cord under normal and pathological conditions","volume":"15","author":"Martirosyan NL","year":"2011","unstructured":"Martirosyan NL, Feuerstein JS, Theodore N, Cavalcanti DD, Spetzler RF, Preul MC. 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