Cubital Tunnel Syndrome Caused By Uric Acid Tophi: An Unusual Case
نویسندگان
چکیده
We present a rare case of ulnar nerve compression by deposits of uric acid crystals at the cubital tunnel. Diagnosis of ulnar neuritis was largely based on the symptoms, patterns of paresthesia, and also specific patterns of muscle weakness. Nerve compression by tophi was documented during surgery. The tophi were completely resected and the nerve fully decompressed. Surgical treatment was followed by prompt recovery from ulnar neuropathy and also clinical symptoms. At twenty two months follow-up there was no evidence of recurrence. In the clinical setting of gout, tophi might be recognized as another cause of cubital tunnel syndrome. Given the high index of suspicion, early diagnosis and careful excision is associated with a satisfactory outcome
منابع مشابه
Cubital tunnel syndrome secondary to gouty tophi: A case report.
Gout is a chronic rheumatic disease resulting from accumulation of monosodium urate crystals in tissues. The most important risk factor for the disease is hyperuricaemia. Precipitation of uric acid in the joint in the form of monosodium urate crystals is the main factor responsible for triggering attacks of arthritis. Tophi occur as a result of urate crystals that precipitate into joints and su...
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