Spinal tophaceous gout encasing the thoracic spinal cord.

نویسندگان

  • Nagina Subrati
  • Melissa C Werndle
  • Christos M Tolias
چکیده

Gout rarely compresses the thoracic spinal cord. A 43-year-old man presented with lower limb paraparesis. MRI showed a soft tissue swelling at the level of T10/T11. He was managed with a laminectomy and evacuation of a presumed abscess and started on intravenous antibiotics. However, histology confirmed tophaceous gout.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Spinal cord compression by tophaceous gout with fluorodeoxyglucose-positron-emission tomographic/MR fusion imaging.

A 36-year-old woman presented with lower extremity paralysis. Her past medical history included gout. Conventional radiography and MR imaging revealed bone erosion and soft tissue lesions of the thoracic spine. Fluorodeoxyglucose-positron-emission tomographic (FDG-PET) images revealed hypermetabolic lesions of the thoracic spine. A CT-guided biopsy was diagnostic for inflammatory tophaceous gou...

متن کامل

Tophaceous Gout of the Spine Causing Neural Compression

Gout is a common metabolic disease in which monosodium urate crystals called tophi develop. Spinal involvement in gout resulting in neural compression is unusual. We describe a case of a 64-year-old man with a history of gouty arthritis of the knee. The patient presented with thoracic myelopathy and radiculopathy. Imaging of the spine revealed an extradural mass lesion with bony erosion of the ...

متن کامل

Lumbar spinal stenosis attributable to tophaceous gout: case report and review of the literature

OBJECTIVES Tophaceous gout seldom affects the axial skeleton. Symptoms vary according to the differential localization of urate deposits and the diagnosis is often delayed. Here, we report an unusual case of lumbar spinal stenosis caused by extradural tophaceous deposits. METHODS We retrospectively reviewed a case of a patient with tophaceous gout of the lumbar spine and reviewed the relevant...

متن کامل

Tophaceous Gout in the Lumbar Spinal Canal Mimicking Epidural Spinal Tumor

Gout is an inflammatory arthritis characterized by deposition of monosodium urate crystals in joints. Though gout frequently involves the big toe or other extremities, it rarely occurs in the spinal canal. A 35-year-old man presented with left L5 radiculopathy. He had leg pain for 8 months and received several epidural steroid injections. Magnetic resonance imaging revealed a 1.7×1.1-cm ovoid c...

متن کامل

Tophaceous Gout of the Cervical Spine Mimicking Intervertebral Disc Herniation

Tophaceous gout involving the intervertebral disc is rare and may present with neurologic symptoms secondary to spinal cord or nerve root compression. We report a case of a 50-year-old male with a history of hyperuricemic gout who received intermittent medical treatment and had a history of alcoholism. Quadriparesis developed over a period of one month. Magnetic resonance imaging of the cervica...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • BMJ case reports

دوره 2016  شماره 

صفحات  -

تاریخ انتشار 2016