(Disclaimer: This article is for scientific purposes only, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The patient in this case started with shoulder pain, followed by numbness in both hands, no characteristic segmental dissociative sensory loss of the upper limbs, no history of infection before the disease, denied vaccination history, after admission, examination of the spinal cord magnetic resonance showed: symptoms of spinal cord cavernous involvement of the cervical spinal cord in the central part of the spinal cord, confirming the Cervical spinal cord injury, the patient was treated with medication + surgery, the surgery went well, the discomfort was relieved and the recovery was good. Basic information] Female, 31 years old [Type of disease] Spinal cord cavernous disease [Hospital] The Second Affiliated Hospital of Harbin Medical University [Date of consultation] November 2021 [Treatment plan] Medication (methylcobalamin injection, glycerol fructose injection, compound amino acid injection, sodium methylprednisolone succinate for injection, pregabalin capsule) + Surgery (cricoid-occipital decompression + cranial head ring distraction) [Treatment period] 15 days hospitalization Treatment period] 15 days of hospitalization 【Treatment effect】Surgery went smoothly, discomfort relieved, good recovery I. Initial interview The patient had transient pain in the right shoulder, a pinprick sensation, which was relieved after a few seconds, 10 months before admission, and did not care about it. Two months before admission, the patient had pain after lowering his head, accompanied by back pain, the symptoms were persistent, accompanied by numbness in both hands, but there was no limb weakness, the upper limbs can be lifted, no speech clumsiness, the patient was more concerned about this symptom, thinking that it was caused by cervical spondylosis, first went to the Department of Spine Surgery, checking the cervical spine magnetic resonance showed that: spinal cavernous disease, and then went to my outpatient clinic, told me that it was recommended that we admit the medication plus surgery to get to the root of the problem, and the patient agreed. The patient agreed to be hospitalized. In the outpatient clinic, the MRI examination of the head showed no obvious abnormality, and the patient was physically fit and had no history of smoking or alcohol consumption. (Cervical spine magnetic resonance) After the patient was admitted to the hospital, body examination: temperature: 36.5℃, blood pressure: 120/80mmhg, heart rate: 71 beats/min, respiration: 16 beats/min, consciousness is clear, speech is fluent, muscle strength of the limbs is normal, there is no obvious abnormality in sensation, and the perfect spinal magnetic resonance shows that: the cervical segment and the upper thoracic segment of the spinal cord cavernous disease. To the patient’s family to describe the condition, drug treatment at the same time to consider surgical treatment, surgical treatment to the root, the family agreed to the program after discussion. 1, drug treatment: give methylcobalamin injection nutritional nerve, glycerol fructose injection dehydration, compound amino acid injection rehydration, injection of methylprednisolone sodium succinate to relieve the symptoms, pregabalin capsules to relieve pain; 2, surgical treatment: the use of crico-occipital decompression + cranial cephalic ring traction, and pay attention to repeated rinsing of wounds, hemostasis, the placing of gelatine sponges and artificial dura mater, the surgical process went smoothly, there was no intraoperative complications. The operation went smoothly without any intraoperative complications. (Spinal cord magnetic resonance) III. Treatment effect After treatment, the patient’s symptoms improved, the shoulder pain was significantly reduced, and the numbness of both hands was not aggravated. The patient was first treated with medication to repair nerve damage and improve microcirculation, explained the pros and cons and risks of surgery to the patient’s family, and was transferred to neurosurgery for surgical treatment. The surgical process went smoothly, and the patient recovered well after the surgery, with his diet returning to normal and rehydration medication being discontinued. After 15 days of hospitalization, the patient reached the discharge standard and was discharged from the hospital. At the time of discharge, the patient had a good mental state, no discomfort and was very satisfied with the treatment effect. Fourth, precautions I am glad that the patient after treatment symptoms have been improved, but after discharge should still remind the patient need to pay attention to observe whether there is a recurrence of shoulder pain, and cervical spondylosis caused by neck muscle pain and need to identify, such as this symptom should be as early as possible to seek medical treatment, can not wait for the pain to become more and more intense only to begin to pay attention to the emergence of shoulder pain do not need to be overly tense, do not have to worry about anxiety, and timely access to medical treatment, early diagnosis, early treatment. The effect is good. Spinal Cord Cavernous Disease need to avoid eating spicy stimulation of greasy food, carbohydrates, do not look down for a long time to look at the phone, play the computer, so as not to affect the neck wound, try to stay in bed to prevent respiratory infections, to prevent pressure ulcers, to maintain bowel movements, you can be appropriate to cooperate with the physical therapy, and so on. Regularly review the head magnetic resonance to see if there is cerebellar tonsillar hernia. Through the understanding of the patient’s situation in this case, MRI examination of spinal cord cavernous disease is the preferred diagnostic method, in the spinal cord and brain sagittal position can clearly show the location and size of the cavernous hole, need to be differentiated from the spinal cord tumors, cervical spondylosis, amyotrophic lateral sclerosis, spinal cord angiomyolysis, radiculomyelitis, etc. The patient was suffering from shoulder pain since the beginning of the disease, and he had to be taken to the hospital. The patient had shoulder pain, which was easily confused with frozen shoulder and cervical spondylosis, so extra attention was needed. The patient was treated with medication and surgery, and recovered well.