Multiple spinal intramedullary cavernomas with vascular skin venus or ‘Cobb syndrome’: a case report
- Department of Neurosurgery, University of Athens Medical School, “Evangelismos” General Hospital, Athens, Greece
- Correspondence to Dr S Gatzonis, Department of Neurosurgery, “Evangelismos” Hospital, Athens Medical School, 45-47 Ipsilantou St, Athens, Greece;
- Accepted 8 October 2009
Cobb syndrome consists of a vascular skin nevus associated with an angioma in the spinal cord.1 Cavernous angiomas (CAs) account for 5–16% of all spinal vascular malformations.2 The spinal cord is a rare site for CAs.1
Mean age at diagnosis is 36.4 years, with a peak between the third and fifth decades. Women make up 70% of all patients.1 3 Lesions are most frequently localised at the cervical and thoracic spinal cord.3 Mean size at diagnosis is 1.7 cm.3
We present a patient diagnosed as having multiple intramedullary thoracic CAs.
A 32-year-old woman presented with weakness and numbness of the lower extremities. She described slight …