{"id":6531,"date":"2020-04-22T03:08:03","date_gmt":"2020-04-22T06:08:03","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/sindrome-de-cobb\/"},"modified":"2020-04-27T17:21:17","modified_gmt":"2020-04-27T20:21:17","slug":"cobb-syndrome","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-cobb\/","title":{"rendered":"Cobb syndrome"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-cobb\/#%C2%BFQuien-contrae-el-sindrome-de-Cobb\" >Who gets Cobb syndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-cobb\/#%C2%BFQue-causa-el-sindrome-de-Cobb\" >What causes Cobb syndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-cobb\/#%C2%BFCuales-son-los-signos-clinicos-del-sindrome-de-Cobb\" >What are the clinical signs of Cobb syndrome?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-cobb\/#Malformaciones-vasculares\" >vascular malformations<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-cobb\/#%C2%BFCuales-son-las-complicaciones-del-sindrome-de-Cobb\" >What are the complications of Cobb syndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-cobb\/#%C2%BFComo-se-diagnostica-el-sindrome-de-Cobb\" >How is Cobb syndrome diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-cobb\/#%C2%BFComo-se-trata-el-sindrome-de-Cobb\" >How is Cobb syndrome treated?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-cobb\/#%C2%BFCual-es-el-pronostico-para-el-sindrome-de-Cobb\" >What is the prognosis for Cobb syndrome?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p><span style=\"color: #3b76a0; font-family: Montserrat, 'Open Sans', Helvetica, Helvetica, Arial, sans-serif; font-size: 24px; font-weight: bold;\">What is Cobb? <span class=\"term\" data-term-id=\"350\">syndrome<\/span>?<\/span><\/p>\n<p class=\"Normal1\">Cobb syndrome is a <span class=\"term\" data-term-id=\"558\">genetic<\/span> disorder characterized by <span class=\"term\" data-term-id=\"753\">vascular<\/span> injuries and <span class=\"term\" data-term-id=\"402\">neurological <\/span>Deficits Also known as spinal arteriovenous metameric syndrome (SAMS) and <span class=\"term\" data-term-id=\"47\">cutaneous<\/span> meningospinal <span class=\"term\" data-term-id=\"1347\">angiomatosis<\/span>.<\/p>\n<p class=\"Normal1\">Although first described by Berenbauch in 1890, the syndrome is most closely associated with Dr. Cobb&#039;s description of a clinical case in 1915.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-el-sindrome-de-Cobb\"><\/span>Who gets Cobb syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"Normal1\">Cobb syndrome is extremely rare.<\/p>\n<ul>\n<li>There are fewer than 100 cases reported in the literature, although researchers believe the disease may be underreported.<\/li>\n<li>Reported cases show that Cobb syndrome is slightly more common in men and Caucasians.<\/li>\n<li>The skin symptoms of Cobb syndrome appear at birth, and the neurological symptoms appear by the age of 5 years.<\/li>\n<li>Affected children have no family history of Cobb syndrome.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-el-sindrome-de-Cobb\"><\/span>What causes Cobb syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"Normal1\">The cause of Cobb syndrome is not completely understood. It is believed that <span class=\"term\" data-term-id=\"1422\">somatic<\/span> <span class=\"term\" data-term-id=\"871\">mutations<\/span> in the neural crest or mesoderm are responsible for its development quite early in the development of the embryo.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-los-signos-clinicos-del-sindrome-de-Cobb\"><\/span>What are the clinical signs of Cobb syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"Normal1\">Cobb syndrome presents with multiple vascular lesions:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"756\">Capillary<\/span> vascular malformations (port wine stains) in a <span class=\"term\" data-term-id=\"56\">dermatomal<\/span> <span class=\"term\" data-term-id=\"69\">distribution<\/span> in the trunk<\/li>\n<li>Arteriovenous malformations<\/li>\n<li>Other vascular injuries, including <span class=\"term\" data-term-id=\"358\">angioma<\/span>, <span class=\"term\" data-term-id=\"362\">angiokeratoma<\/span>, <span class=\"term\" data-term-id=\"364\">angiolipoma<\/span>cavernous <span class=\"term\" data-term-id=\"360\">hemangioma<\/span>and <span class=\"term\" data-term-id=\"744\">lymphatic<\/span> <span class=\"term\" data-term-id=\"1631\">malformation<\/span>.<\/li>\n<\/ul>\n<p class=\"Normal1CxSpMiddle\">Signs of neurological involvement include:<\/p>\n<ul>\n<li>Hyperreflexia (hyperactivity of <span class=\"term\" data-term-id=\"1262\">physiological<\/span> reflexes) and sensory and motor defects, including <span class=\"term\" data-term-id=\"1923\">paralysis<\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1302\">Morphologic<\/span> (structural) anomalies of the central nervous system.<\/li>\n<\/ul>\n<p>If neurological symptoms occur, they may occur in intermittent episodes, gradual progression, or with a sudden onset.<\/p>\n<p>Structural abnormalities of the urinary tract are also reported.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Malformaciones-vasculares\"><\/span>vascular malformations<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='vascular-malformation03__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildiwxq-3372565-6436274' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/vascular-malformation03__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDIwXQ-3372565.jpg'>\n<\/div>\n<p class=\"p-small\">Capillary vascular malformation.<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lymphangioma__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde3xq-6164156-6168927' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/Lymphangioma__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE3XQ-6164156.jpg'>\n<\/div>\n<p class=\"p-small\">lymphatic vascular malformation.<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='0046__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildizxq-8062958-1238571' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/0046__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDIzXQ-8062958.jpg'>\n<\/div>\n<p class=\"p-small\">Angiokeratomas<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-complicaciones-del-sindrome-de-Cobb\"><\/span>What are the complications of Cobb syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"Normal1\">Possible complications of Cobb syndrome include:<\/p>\n<ul>\n<li>Combined kyphosis and <span class=\"term\" data-term-id=\"1224\">scoliosis<\/span>, bone and joint pain due to spinal involvement<\/li>\n<li>\n<span class=\"term\" data-term-id=\"769\">Thrombosis<\/span> within arteriovenous malformations<\/li>\n<li>\n<span class=\"term\" data-term-id=\"770\">Necrotic<\/span> myelopathy and Foix-Alajouanine syndrome<\/li>\n<li>More rarely, congestive heart failure, and <span class=\"term\" data-term-id=\"1286\">gangrene<\/span>.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-el-sindrome-de-Cobb\"><\/span>How is Cobb syndrome diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"Normal1\">Cobb syndrome is diagnosed by the presence of multiple cutaneous vascular lesions and neurological defects. Spinal vascular lesions associated with Cobb syndrome can be diagnosed by <span class=\"term\" data-term-id=\"1116\">Magnetic resonance<\/span>, despite <span class=\"term\" data-term-id=\"799\">Connecticut<\/span> scans, x-ray or <span class=\"term\" data-term-id=\"1369\">angiography<\/span> It can also be used for detection.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-trata-el-sindrome-de-Cobb\"><\/span>How is Cobb syndrome treated?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"Normal1\">Treatment for Cobb syndrome may include:<\/p>\n<ul>\n<li>\n<p>Endovascular sclerotherapy <span class=\"term\" data-term-id=\"1375\">embolization<\/span> and surgical <span class=\"term\" data-term-id=\"848\">excision<\/span> of vascular lesions<\/li>\n<li>oral steroids<\/li>\n<li>Physical therapy<\/li>\n<li>\n<p>Compression garments for capillaries, <span class=\"term\" data-term-id=\"1178\">venous<\/span> or lymphatic abnormalities.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-pronostico-para-el-sindrome-de-Cobb\"><\/span>What is the prognosis for Cobb syndrome?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p class=\"Normal1\">The outlook for children with Cobb syndrome is <span class=\"term\" data-term-id=\"1179\">dependent<\/span> about:<\/p>\n<ul>\n<li>The severity of spinal and neurological involvement.<\/li>\n<li>Early detection and intervention to prevent or minimize neurological symptoms.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es Cobb? s\u00edndrome? El s\u00edndrome de Cobb es un gen\u00e9tico trastorno caracterizado por vascular lesiones y neurol\u00f3gico d\u00e9ficits Tambi\u00e9n se conoce como s\u00edndrome metam\u00e9rico arteriovenoso espinal (SAMS) y cut\u00e1neo&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6531","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6531","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6531"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6531\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6531"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6531"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6531"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}