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Papers of the Week

2021 May 19

BMC Neurol



MRI-based early diagnosis: a diabetic Charcot spine case report.


Nedel B L, Duarte J A, Gerchman F
BMC Neurol. 2021 May 19; 21(1):202.
PMID: 34011317.


Spinal neuroarthropathy (SNA), also known as Charcot spine, is an uncommon aggressive arthropathy, secondary to loss of proprioceptive and nociceptive feedback from the spine. A diagnosis of SNA is frequently delayed due to the scarcity of symptoms in its early stages, leading to significant neurological deterioration. Therefore, prompt suspicion of the disease is critical to providing better outcomes. This case assembles two rare characteristics of SNA: diabetic aetiology and a precocious time of diagnosis, and aims to highlight the magnetic resonance imaging (MRI) findings that allowed for the diagnosis.