Recurrent Spinal Arteriovenous Malformations in a Patient with Cobb Syndrome.
Publication/Presentation Date
1-1-2024
Abstract
Cobb syndrome is a rare neurocutaneous disease characterized by multiple spinal vascular anomalies and vascular skin lesions affecting the corresponding dermatome. We present a case of a 12-year-old boy with history of spinal arteriovenous malformation (AVM) extending from T4-T5 status post partial embolization 3 years ago and hyperpigmented patch overlying his thoracic back region presenting with 2 days of back pain and lower extremity numbness and weakness. He had multiple Type III AVMs within the spinal and paraspinal tissues involving the T4-T7 vertebral elements, most extensively T4 and T5. The largest aneurysm located at the confluence of the main AVM nidus was a 4 mm anterior spinal artery aneurysm, which was embolized with partial embolization of the main AVM nidus, resulting in complete aneurysm occlusion. This report provides valuable insight on the natural history, recurrence risk, and treatment options of Cobb syndrome to aid in early diagnosis and improve outcomes.
Volume
11
First Page
2329048
Last Page
2329048
ISSN
2329-048X
Published In/Presented At
Mulchan, N., Garcia, M. R., & Wells, J. T. (2024). Recurrent Spinal Arteriovenous Malformations in a Patient with Cobb Syndrome. Child neurology open, 11, 2329048X231225305. https://doi.org/10.1177/2329048X231225305
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
38766554
Department(s)
Department of Pediatrics
Document Type
Article
