Interventional embolization combined with posterior vertebral cement filling for laminectomy and decompression in the treatment of Cobb syndrome:a case report
Objective To report a case of Cobb syndrome,aiming to improve the understanding and provide references for early diagnosis and treatment.Methods A 60-years-old female patient with Cobb syndrome was reported.The patient was seeking for medical help for 9 days due to numbness and weakness in both lower limbs.Prior to the onset of the disease,the patient developed numbness and weakness in both lower limbs due to fatigue.With rapid onset and development,the patient gradually developed urinary and bowel dysfunction.Imaging examination showed abnormal enhancement lesions T6-T8 outside the dura mater and in the T7 vertebral body and appendages.Increased tortuous vascular shadows in the soft tissue of the chest and back,and thickened blood vessels in the spinal cord were observed.Digital subtraction angiography(DSA)revealed tortuous deformities in the vertebral and spinal branches of the intercostal artery,as well as abnormal vascular clusters in the paraspinal and vertebral bodies.The symptoms,signs,and imaging findings all met the diagnostic criteria for Cobb syndrome.The patient underwent interventional embolization,posterior vertebral cement filling,and laminectomy decompression surgery in stages.This rare case was discussed and analyzed through literature review.Results After six months of postoperative follow-up,the patient's lower limb muscle strength and sensation improved compared to that before,and the bowel functions were restored.Conclusions Interventional embolization combined with posterior vertebral cement filling,laminectomy and decompression is a relatively safe and effective treatment for Cobb syndrome,making it an ideal treatment option.
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