Anesthetic Considerations in Cobb Syndrome: A Case Report

Abstract

Cutaneomeningospinal angiomatosis, popularly known as Cobb syndrome, is a rare clinical disorder predominantly presenting with a vascular skin lesion and a spinal angioma at the same dermatomal level. Several case reports and case series have reported on the surgical management of this syndrome, but we failed to find any information about its anesthetic considerations in the Medline database. Our case report describes the perioperative anesthetic management of a 46-year-old man with Cobb syndrome.

Cobb Syndrome Manifesting as Repetitive Seizures in a 10-Year-Old Girl: A Case Report and Literature Review

“…This disease predominantly occurs in children and adolescents; there are no obvious differences in relation to gender or race. Very few case reports have been published featuring patients with Cobb syndrome (1–4). This is due to our limited understanding of this syndrome and its clinical manifestations.…”

“…Existing literature suggests that this disease is associated with a subacute or chronic onset (3), typically manifested by sudden root pain in the back and lower extremities below a certain spinal cord level, accompanied by numbness of the skin. Secondary symptoms include weakness in the lower extremities and urinary dysfunction (3, 4, 8). Paraplegia and sensory disturbance are common in patients with acute onset and permanent sequelae can develop if the syndrome is missed or misdiagnosed (3).…”