International Medical Research Frontier

Central and peripheral nervous system damage caused by diabetes is the most common,while there are few studies on patients with chronic progressive myelopathy, which may reflect the rarity of clinically obvious diabetes spinal cord injury in diabetes patients.This disease belongs to the central neuropathy of diabetes,accounting for only about 1.5% of the complications of diabetes nervous system,and can progress to myelopathy. Spinal cord injury in diabetes usually occurs in the cervical spine, followed by the thoracic spine and the lumbar spine.The progress of the disease is slow and hidden.Conventional imaging evaluation is usually relatively difficult to diagnose.Only MRI indicates abnormal high signal, which often leads to misdiagnosis or missed diagnosis and delayed treatment due to combined peripheral nervous system damage or primary spinal cord injury. Therefore,in clinical practice, the treatment of such patients is often delayed due to the neglect of the cause, resulting in the continuous progress of the disease and irreversible spinal cord damage.This case is relatively rare, which can provide some help for clinical practice to avoid misdiagnosis and missed treatment of this kind of disease.

Diabetes; Spinal cord injury; Diagnosis; Treatment