Gout of the spine. Two case reports and a review of the literature.

Fenton, Paul; Young, Stephanie Ming; Prutis, Krystyna.

doi:10.2106/00004623-199505000-00013

Cited by 61 publications

(26 citation statements)

References 19 publications

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“…The CT images demonstrated punched out cortical and juxta-articular erosions that were centred in the right T10-11 facet joint with relative preservation of the articular space and normal bone density (Figures 1 and 2), which are classic findings of gouty tophi of the spine [1]. Similar punchedout pressure erosions were also seen on several other thoracic facet and costotransverse joints (not shown).…”

Section: Diagnosismentioning

confidence: 77%

Severe back pain and lower extremities weakness in a young male

Nasseri

Myers²,

Shah³

et al. 2013

BJR

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Section: Diagnosismentioning

confidence: 77%

Severe back pain and lower extremities weakness in a young male

Nasseri

Myers²,

Shah³

et al. 2013

BJR

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“…The most commonly affected level of the spinal gout is the lumbar level followed by the cervical and thoracic levels5,8,11). This incidence can be explained by the pathogenesis of gout, the location of which is related to the solubility of crystals10,12,13).…”

Section: Discussionmentioning

confidence: 99%

Tophaceous Gout in the Lumbar Spinal Canal Mimicking Epidural Spinal Tumor

Kim

et al. 2017

Korean J Spine

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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 contrast-enhancing mass, causing pressure erosion of the left L5 pedicle. Microscopic laminotomy was performed at the left L5 lamina. White chalky materials, identified at the left lateral recess of the spinal canal, were removed in a piecemeal manner. The histopathologic diagnosis was tophaceous gout. Although the patient’s radiating pain did not resolve postoperatively, it was dramatically relieved with uric acid-lowering medications. If a mass effect is suspected, surgical removal of gouty tophi might aid in symptom release and definite diagnosis. Medical treatment after rheumatology consultation is crucial.

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“…6 The most common location is the lumbar spine, followed by cervical and thoracic spine, 7 the sacroiliac joints is sometimes also involved. 8 The affected anatomical components of the spine are usually the vertebral bodies, 9 pedicle, laminae, interapophyseal cartilage, 10 and sometimes intradural and epidural spaces. 11 Clinical presentation may vary from severe back pain to most serious neurological symptoms caused by spinal cord compression, as paraparesis and tetraparesis.…”

Section: Discussionmentioning

confidence: 99%