Spinal tophaceous gout encasing the thoracic spinal cord

BMJ Case Rep. 2016 Oct 4:2016:bcr2016214869. doi: 10.1136/bcr-2016-214869.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Gout / complications*
  • Humans
  • Laminectomy
  • Leg
  • Low Back Pain / etiology
  • Magnetic Resonance Imaging
  • Male
  • Muscle Weakness / etiology
  • Paraparesis / etiology
  • Spinal Cord Compression / etiology*
  • Spinal Cord Compression / surgery
  • Thoracic Vertebrae