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Spinal Cord Compression Due to Tophaceous Vertebral Gout: A Case Report

Gout tophi are deposits of urate crystals in subcutaneous tissues and joints which commonly affect the small joints of the feet and hands, causing painful arthritis. The axial skeleton is considered to be seldom affected by gout arthritis. Here we describe the clinical, MRI, and pathologic findings...

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Autores principales: Abreu Casas, Duniel, López-Piloto, Orestes R, Rodríguez de la Paz, Norbery J, Plasencia-Leonardo, José M, Íñiguez-Avendaño, Daniel, Gutierrez, Joel V
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391668/
https://www.ncbi.nlm.nih.gov/pubmed/36000115
http://dx.doi.org/10.7759/cureus.27101
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author Abreu Casas, Duniel
López-Piloto, Orestes R
Rodríguez de la Paz, Norbery J
Plasencia-Leonardo, José M
Íñiguez-Avendaño, Daniel
Gutierrez, Joel V
author_facet Abreu Casas, Duniel
López-Piloto, Orestes R
Rodríguez de la Paz, Norbery J
Plasencia-Leonardo, José M
Íñiguez-Avendaño, Daniel
Gutierrez, Joel V
author_sort Abreu Casas, Duniel
collection PubMed
description Gout tophi are deposits of urate crystals in subcutaneous tissues and joints which commonly affect the small joints of the feet and hands, causing painful arthritis. The axial skeleton is considered to be seldom affected by gout arthritis. Here we describe the clinical, MRI, and pathologic findings of a 61-year-old male patient with a previous diagnosis of gout who presented with progressive paraparesis and radicular pain. MRI showed extradural masses compressing the spinal cord and roots at two spinal levels. Two surgical interventions were performed to remove these extradural masses, which were pathologically identified as gout tophi. Pain and paraparesis had clinical improvement after surgery. This report highlights that gout can be a cause of paraparesis.
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spelling pubmed-93916682022-08-22 Spinal Cord Compression Due to Tophaceous Vertebral Gout: A Case Report Abreu Casas, Duniel López-Piloto, Orestes R Rodríguez de la Paz, Norbery J Plasencia-Leonardo, José M Íñiguez-Avendaño, Daniel Gutierrez, Joel V Cureus Neurology Gout tophi are deposits of urate crystals in subcutaneous tissues and joints which commonly affect the small joints of the feet and hands, causing painful arthritis. The axial skeleton is considered to be seldom affected by gout arthritis. Here we describe the clinical, MRI, and pathologic findings of a 61-year-old male patient with a previous diagnosis of gout who presented with progressive paraparesis and radicular pain. MRI showed extradural masses compressing the spinal cord and roots at two spinal levels. Two surgical interventions were performed to remove these extradural masses, which were pathologically identified as gout tophi. Pain and paraparesis had clinical improvement after surgery. This report highlights that gout can be a cause of paraparesis. Cureus 2022-07-21 /pmc/articles/PMC9391668/ /pubmed/36000115 http://dx.doi.org/10.7759/cureus.27101 Text en Copyright © 2022, Abreu Casas et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Abreu Casas, Duniel
López-Piloto, Orestes R
Rodríguez de la Paz, Norbery J
Plasencia-Leonardo, José M
Íñiguez-Avendaño, Daniel
Gutierrez, Joel V
Spinal Cord Compression Due to Tophaceous Vertebral Gout: A Case Report
title Spinal Cord Compression Due to Tophaceous Vertebral Gout: A Case Report
title_full Spinal Cord Compression Due to Tophaceous Vertebral Gout: A Case Report
title_fullStr Spinal Cord Compression Due to Tophaceous Vertebral Gout: A Case Report
title_full_unstemmed Spinal Cord Compression Due to Tophaceous Vertebral Gout: A Case Report
title_short Spinal Cord Compression Due to Tophaceous Vertebral Gout: A Case Report
title_sort spinal cord compression due to tophaceous vertebral gout: a case report
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391668/
https://www.ncbi.nlm.nih.gov/pubmed/36000115
http://dx.doi.org/10.7759/cureus.27101
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