Spontaneous cervical extradural hematoma in a cutaneo-meningospinal angiomatosis (Cobb syndrome): case report.
Spontaneous spinal extradural hematoma is a rare clinical entity, commonly associated with coagulopathies, tumours or vascular malformations. They are often a neurosurgical emergency, therefore prompt diagnosis and early treatment are necessary. The Cobb syndrome is a neurocutaneous syndrome in which there are metameric vascular skin nevus and spinal arteriovenous malformation. The authors report the case of a 52-year-old woman with acute cervical myelopathy and a cervical cutaneous hemangioma on clinical examination. It is stressed the importance of clinical suspicion of cutaneo-meningospinal angiomatosis based on a spinal cord syndrome in the presence of a vascular skin nevus of the same metameric level.
Romeo
F
F
Department of Neurosurgery, ''A.Perrino'' Hospital, Brindisi, Italy. francescoromeo@hotmail.com
Toscano
S
S
Santangelo
M
M
Fumai
V
V
Maddalena
G
G
D000798:Angiomatosis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D001165:Arteriovenous Malformations / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009506:Nevus / Q000150:complications* / Q000473:pathology / Q000601:surgery; D012878:Skin Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery