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A unique presentation of acute tophaceous gout in the lumbar spine causing cauda equina syndrome
Gout is a common metabolic disease characterized by the deposition of monosodium urate (MSU) crystals and typically affects the peripheral joint, rarely involving the axial skeleton. We present a rare case of acute tophaceous gout in the lumbar spine causing cauda equina syndrome. A 60-year-old man...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10371789/ https://www.ncbi.nlm.nih.gov/pubmed/37520396 http://dx.doi.org/10.1016/j.radcr.2023.06.070 |
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author | Xian, Esther Tan Wan Xian, Shawn Kok Shi Ming, Yeap Phey |
author_facet | Xian, Esther Tan Wan Xian, Shawn Kok Shi Ming, Yeap Phey |
author_sort | Xian, Esther Tan Wan |
collection | PubMed |
description | Gout is a common metabolic disease characterized by the deposition of monosodium urate (MSU) crystals and typically affects the peripheral joint, rarely involving the axial skeleton. We present a rare case of acute tophaceous gout in the lumbar spine causing cauda equina syndrome. A 60-year-old man with a history of gout and prior admissions for polyarticular gout flare presented with acute onset of bilateral lower limb numbness and weakness. He underwent surgical decompression with drainage of the epidural collection, with histology consistent with tophaceous gout. The patient made a full recovery postoperatively and was discharged uneventfully. Due to the high initial suspicion for gout, early spinal decompression surgery was performed, and the patient was started on medical therapy. Spinal tophaceous should be considered in the list of different diagnoses of spinal epidural masses especially in the context of a history of gouty arthritis. |
format | Online Article Text |
id | pubmed-10371789 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-103717892023-07-28 A unique presentation of acute tophaceous gout in the lumbar spine causing cauda equina syndrome Xian, Esther Tan Wan Xian, Shawn Kok Shi Ming, Yeap Phey Radiol Case Rep Case Report Gout is a common metabolic disease characterized by the deposition of monosodium urate (MSU) crystals and typically affects the peripheral joint, rarely involving the axial skeleton. We present a rare case of acute tophaceous gout in the lumbar spine causing cauda equina syndrome. A 60-year-old man with a history of gout and prior admissions for polyarticular gout flare presented with acute onset of bilateral lower limb numbness and weakness. He underwent surgical decompression with drainage of the epidural collection, with histology consistent with tophaceous gout. The patient made a full recovery postoperatively and was discharged uneventfully. Due to the high initial suspicion for gout, early spinal decompression surgery was performed, and the patient was started on medical therapy. Spinal tophaceous should be considered in the list of different diagnoses of spinal epidural masses especially in the context of a history of gouty arthritis. Elsevier 2023-07-14 /pmc/articles/PMC10371789/ /pubmed/37520396 http://dx.doi.org/10.1016/j.radcr.2023.06.070 Text en © 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Xian, Esther Tan Wan Xian, Shawn Kok Shi Ming, Yeap Phey A unique presentation of acute tophaceous gout in the lumbar spine causing cauda equina syndrome |
title | A unique presentation of acute tophaceous gout in the lumbar spine causing cauda equina syndrome |
title_full | A unique presentation of acute tophaceous gout in the lumbar spine causing cauda equina syndrome |
title_fullStr | A unique presentation of acute tophaceous gout in the lumbar spine causing cauda equina syndrome |
title_full_unstemmed | A unique presentation of acute tophaceous gout in the lumbar spine causing cauda equina syndrome |
title_short | A unique presentation of acute tophaceous gout in the lumbar spine causing cauda equina syndrome |
title_sort | unique presentation of acute tophaceous gout in the lumbar spine causing cauda equina syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10371789/ https://www.ncbi.nlm.nih.gov/pubmed/37520396 http://dx.doi.org/10.1016/j.radcr.2023.06.070 |
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