Cobb's syndrome and its treatment with embolization

Case report

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✓ A case of Cobb's syndrome, which is characterized by spinal and vertebral angiomas and a skin nevus at the same metameric level, is reported. The spinal angiomas were treated with liquid embolization using ethylene vinyl alcohol.

Article Information

Address reprint requests to: Shin-ichi Miyatake, M.D., Department of Neurosurgery, Faculty of Medicine, Kyoto University, 54-Kawahara-cho, Sakyo-ku, Kyoto 606, Japan.

© AANS, except where prohibited by US copyright law.

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Figures

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    Photograph showing the nevus on the left side of the patient's back.

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    Magnetic resonance T1-weighted image showing the flow-void low-intensity area (larger arrow) of the spinal canal from T-5 to T-7, suggesting a huge arteriovenous fistula. The smaller arrow shows the T-7 vertebral angioma. Vertebral angiomas of T-8 and T-9 were also identified.

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    Magnetic resonance images obtained 7 days after embolization. Arrows show thrombosis of the huge varix on the T1-weighted image (left), the spin density-weighted image (center), and the T2-weighted image (right).

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