Tophaceous Gout of the Spine Causing Neural Compression
Korean Journal of Spine
;
: 185-188, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-35260
ABSTRACT
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 thoracic spine. A decompressive operation was performed, and a chalky white material was found. Histopathological examination confirmed a gouty tophus. The symptoms of spinal gout vary and its radiological features are not sufficiently specific to provide a definite diagnosis. Therefore, in patients with a history of gouty arthritis who present with neural compressive symptoms of the spine, spinal gout should be strongly suspected.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Radiculopatia
/
Doenças da Medula Espinal
/
Coluna Vertebral
/
Ácido Úrico
/
Artrite Gotosa
/
Gota
/
Joelho
/
Doenças Metabólicas
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Spine
Ano de publicação:
2013
Tipo de documento:
Artigo
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