A large, erosive intraspinal and paravertebral gout tophus

Beier, Christoph P. and Hartmann, A. and Woertgen, C. and Brawanski, Alexander and Rothoeri, R. D. (2005) A large, erosive intraspinal and paravertebral gout tophus. JOURNAL OF NEUROSURGERY-SPINE, 3 (6). pp. 485-487. ISSN 1547-5654,

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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.

Item Type: Article
Uncontrolled Keywords: MIMICKING EPIDURAL INFECTION; SPINE MIMICKING; TOPHACEOUS COOT; LUMBAR SPINE; FEATURES; gout tophus; lumbar spine; spinal tumor; spinal abscess
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Neurochirurgie
Medicine > Lehrstuhl für Pathologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 20 Apr 2021 11:11
Last Modified: 20 Apr 2021 11:11
URI: https://pred.uni-regensburg.de/id/eprint/35375

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