糖尿病引起神经系统障碍如周围神经变性病和横贯性脊髓病在成人文献中受到极大注意,在儿科则不然,这可能反映儿童糖尿病在临床上引起明显神经系统障碍很少。病例报告:女孩,14.5岁,9.5岁时发生酮症酸中毒和昏迷,诊断为幼年型糖尿病。此后因糖尿病未能控制先后17次住院。其中一次有强直-阵挛性癫痫发作伴意识丧失10分钟。此时神经系统、脑电图及包括脑脊液的实验室检查均正常。每天给服苯巴比妥90mg,癫痫不再发作。此后有一次,她诉咽喉痛、恶心并有呕吐,不久 Diabetic neurological disorders such as peripheral neurodegenerative diseases and traumatic myelopathy have drawn great attention in the adult literature, but not in pediatrics, which may reflect that children with diabetes have very few clinical manifestations of neurological disorders. Case Report: Girl, 14.5 years old, with ketoacidosis and coma at 9.5 years old, diagnosed as juvenile diabetes. Since then, diabetes has failed to control 17 consecutive hospitalizations. One of them had tonic-clonic seizures with loss of consciousness for 10 minutes. At this point the nervous system, EEG and laboratory tests, including cerebrospinal fluid are normal. Give phenobarbital 90mg daily, epilepsy no longer attack. Once in a while, she complained of sore throat, nausea and vomiting, and soon