COBB syndrome treated by staged intravascular embolisation and surgery.
A 28-year old Malay man with evidence of an upper motor neuron cord lesion was diagnosed to have a C7 to T2 spinal arterio-venous malformation and associated cutaneous vascular lesion. He finally agreed for treatment after 5 years of progressive spastic right lower limb weakness leading to inability to mobilize. A two staged intravascular procedure was done followed by surgery with recovery of ASIA impairment scale grade B.
Sayuthi
S
S
Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan.
Moret
J
J
Pany
A
A
Sobri
A
A
Shafie
M
M
Abdullah
J
J
D000328:Adult; D000798:Angiomatosis / Q000150:complications / Q000473:pathology / Q000628:therapy*; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic / Q000379:methods*; D005500:Follow-Up Studies; D006392:Hemangioma, Cavernous / Q000150:complications / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007796:Laminectomy / Q000379:methods*; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D017445:Skin Diseases, Vascular / Q000150:complications / Q000473:pathology / Q000628:therapy*; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000473:pathology / Q000628:therapy*; D013577:Syndrome; D013904:Thoracic Vertebrae