Obliteration of a metameric spinal arteriovenous malformation (Cobb syndrome) using combined endovascular embolization and surgical excision.

@article{Schirmer2012ObliterationOA,
  title={Obliteration of a metameric spinal arteriovenous malformation (Cobb syndrome) using combined endovascular embolization and surgical excision.},
  author={Clemens M. Schirmer and Steven W. Hwang and Ron Irving Riesenburger and In Sup Choi and Carlos A. David},
  journal={Journal of neurosurgery. Pediatrics},
  year={2012},
  volume={10 1},
  pages={
          44-9
        }
}
Cobb syndrome represents the concurrent findings of a metameric spinal vascular malformation and a cutaneous vascular malformation within several dermatomes of each other. This rare entity engenders many difficult decisions with respect to appropriate therapeutic management. Historically, surgical excision carried a high morbidity, and conservative management without intervention was preferred. More recently, several cases of endovascular embolization have been reported with good success. The… CONTINUE READING
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