Charcot arthropathy of the spine with resulting paraparesis developing during pregnancy in a patient with congenital insensitivity to pain. A case report.

This is a report of a 17-year-old female with congenital insensitivity to pain who was noted to develop significant truncal asymmetry during pregnancy. A dense paraparesis developed 10 days after delivery. Charcot arthropathy of the spine had resulted in severe destructive changes of both L3 and L4 with significant canal compromise. The patient made a complete neurologic recovery after anterior decompression and stabilization of the spine.