• Spine · Nov 2012

    Case Reports

    Cervical cord compression due to intradiscal gouty tophus: brief report.

    • Jose Luis Sanmillan Blasco, Noemi Vidal Sarro, Alexei Marnov, and Juan José Acebes Martín.
    • Department of Neurosurgery, Hospital Universitari de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain. joseluis@gmail.com
    • Spine. 2012 Nov 15;37(24):E1534-6.

    Study DesignWe describe an unusual cause of myelopathy with a discussion of similar cases previously reported in the literature.ObjectiveTo report a case of myelopathy due to intradiscal gouty tophus.Summary Of Background DataSpinal involvement in gout is uncommon. Cervical spinal cord compression caused by gout is particularly rare.MethodsWe report the case of a 71-year-old man with a history of hyperuricemia gout. Spastic quadriparesis developed for more than 4 months. Magnetic resonance image of the cervical spine revealed a herniated cervical disc at the C3-C4 level. Anterior discectomy was performed. Intradiscal chalky white granular material was found during surgery.ResultsHistological examination of the surgical specimen demonstrated a gouty tophus. The patient regained strength in all extremities in the postoperative period and required rehabilitation treatment.ConclusionSpinal gout should be considered in all patients presenting myelopathy and history of gout. When progressive neurological symptoms develop, surgical decompression can provide a satisfactory outcome.

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