A large, erosive intraspinal and paravertebral gout tophus. Case report

Christoph P Beier, Arndt Hartmann, Chris Woertgen, Alexander Brawanski, Ralf D Rothoerl

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Symptomatic gout tophi of the spine are a rare but well-characterized complication of tophaceous gout. The authors report the case of a 29-year-old previously healthy man who presented with L-5 radiculopathy. Lumbar magnetic resonance (MR) imaging revealed a 4.5 x 4.5 x 2.8-cm large gout tophus mimicking a malignant spinal tumor or abscess. The tophus completely destroyed both L-4 and L-5 facet joints and the left L-4 lamina and spread epidurally from L-3 to L-5, compressing the left L-5 nerve root. There has been no similar case reported so far with respect to the extent of bone destruction. The authors describe the case history and present intraoperative, MR imaging, and histological findings.

OriginalsprogEngelsk
TidsskriftJournal of Neurosurgery: Spine
Vol/bind3
Udgave nummer6
Sider (fra-til)485-7
Antal sider3
ISSN1547-5654
DOI
StatusUdgivet - dec. 2005
Udgivet eksterntJa

Fingeraftryk

Zygapophyseal Joint
Neoplasms

Citer dette

Beier, Christoph P ; Hartmann, Arndt ; Woertgen, Chris ; Brawanski, Alexander ; Rothoerl, Ralf D. / A large, erosive intraspinal and paravertebral gout tophus. Case report. I: Journal of Neurosurgery: Spine. 2005 ; Bind 3, Nr. 6. s. 485-7.
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abstract = "Symptomatic gout tophi of the spine are a rare but well-characterized complication of tophaceous gout. The authors report the case of a 29-year-old previously healthy man who presented with L-5 radiculopathy. Lumbar magnetic resonance (MR) imaging revealed a 4.5 x 4.5 x 2.8-cm large gout tophus mimicking a malignant spinal tumor or abscess. The tophus completely destroyed both L-4 and L-5 facet joints and the left L-4 lamina and spread epidurally from L-3 to L-5, compressing the left L-5 nerve root. There has been no similar case reported so far with respect to the extent of bone destruction. The authors describe the case history and present intraoperative, MR imaging, and histological findings.",
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A large, erosive intraspinal and paravertebral gout tophus. Case report. / Beier, Christoph P; Hartmann, Arndt; Woertgen, Chris; Brawanski, Alexander; Rothoerl, Ralf D.

I: Journal of Neurosurgery: Spine, Bind 3, Nr. 6, 12.2005, s. 485-7.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - A large, erosive intraspinal and paravertebral gout tophus. Case report

AU - Beier, Christoph P

AU - Hartmann, Arndt

AU - Woertgen, Chris

AU - Brawanski, Alexander

AU - Rothoerl, Ralf D

PY - 2005/12

Y1 - 2005/12

N2 - Symptomatic gout tophi of the spine are a rare but well-characterized complication of tophaceous gout. The authors report the case of a 29-year-old previously healthy man who presented with L-5 radiculopathy. Lumbar magnetic resonance (MR) imaging revealed a 4.5 x 4.5 x 2.8-cm large gout tophus mimicking a malignant spinal tumor or abscess. The tophus completely destroyed both L-4 and L-5 facet joints and the left L-4 lamina and spread epidurally from L-3 to L-5, compressing the left L-5 nerve root. There has been no similar case reported so far with respect to the extent of bone destruction. The authors describe the case history and present intraoperative, MR imaging, and histological findings.

AB - Symptomatic gout tophi of the spine are a rare but well-characterized complication of tophaceous gout. The authors report the case of a 29-year-old previously healthy man who presented with L-5 radiculopathy. Lumbar magnetic resonance (MR) imaging revealed a 4.5 x 4.5 x 2.8-cm large gout tophus mimicking a malignant spinal tumor or abscess. The tophus completely destroyed both L-4 and L-5 facet joints and the left L-4 lamina and spread epidurally from L-3 to L-5, compressing the left L-5 nerve root. There has been no similar case reported so far with respect to the extent of bone destruction. The authors describe the case history and present intraoperative, MR imaging, and histological findings.

KW - Abscess/diagnosis

KW - Adult

KW - Diagnosis, Differential

KW - Gout/complications

KW - Humans

KW - Lumbar Vertebrae/pathology

KW - Magnetic Resonance Imaging

KW - Male

KW - Radiculopathy/etiology

KW - Spinal Neoplasms/diagnosis

U2 - 10.3171/spi.2005.3.6.0485

DO - 10.3171/spi.2005.3.6.0485

M3 - Journal article

VL - 3

SP - 485

EP - 487

JO - Journal of Neurosurgery: Spine

JF - Journal of Neurosurgery: Spine

SN - 1547-5654

IS - 6

ER -