Abstract
Gout is a common metabolic disease characterized by the development of arthritis and nephropathy related to the deposition of monosodium urate crystals within the joints, periarticular tissues, skin and kidneys. Tophus formation seen around the spinal column is very rare, while occurrences of spinal gout tophus without systemic gout disease are much more unique. In our study, we report a spinal gout case that presented with right sciatica without previous history of systemic gout disease.
References
Beier CP, Hartmann A, Woertgen C, Brawanski A, Rothoerl RD (2005) A large, erosive intraspinal and paravertebral gout tophus. Case report. J Neurosurg Spine 3:485–487
Chang IC (2005) Surgical versus pharmacologic treatment of intraspinal gout. Clin Orthop Relat Res 433:106–110
Dhote R, Roux FX, Bachmeyer C, Tudoret L, Daumas-Duport C, Christoforov B (1997) Extradural spinal tophaceous gout: evolution with medical treatment. Clin Exp Rheumatol 15:421–423
Draganescu M, Leventhal LJ (2004) Spinal gout: case report and review of the literature. J Clin Rheumatol 10:74–79
Fontenot A, Harris P, Macasa A, Menon Y, Quinet R (2008) An initial presentation of polyarticular gout with spinal involvement. J Clin Rheumatol 14:188–189
Hsu CY, Shih TT, Huang KM, Chen PQ, Sheu JJ, Li YW (2002) Tophaceous gout of the spine: MR imaging features. Clin Radiol 57:919–925
Kelly J, Lim C, Kamel M, Keohane C, O’Sullivan M (2005) Topacheous gout as a rare cause of spinal stenosis in the lumbar region. Case report. J Neurosurg Spine 2:215–217
King JC, Nicholas C (1997) Gouty arthropathy of the lumbar spine: a case report and review of the literature. Spine 22:2309–2312
Lam HY, Cheung KY, Law SW, Fung KY (2007) Crystal arthropathy of the lumbar spine: a report of 4 cases. J Orthop Surg (Hong Kong) 15:94–101
Mahmud T, Basu D, Dyson PH (2005) Crystal arthropathy of the lumbar spine. J Bone Joint Surg Br 87:513–517
Nakajima A, Kato Y, Yamanaka H, Ito T, Kamatani N (2004) Spinal tophaceous gout mimicking a spinal tumor. J Rheumatol 31:1459–1460
Popovich T, Carpenter JS, Rai AT, Carson LV, Williams HJ, Marano GD (2006) Spinal cord compression by tophaceous gout with fluorodeoxyglucose-positron-emission tomographic/MR fusion imaging. Am J Neuroradiol 27:1201–1203
Suk KS, Kim KT, Lee SH, Park SW, Park YK (2007) Tophaceous gout of the lumbar spine mimicking pyogenic discitis. Spine J 7:94–99
Varga J, Giampaolo C, Goldenberg DL (1985) Tophaceous gout of the spine in a patient with no peripheral tophi: case report and review of the literature. Arthritis Rheum 28:1312–1315
Yen PS, Lin JF, Chen SY, Lin SZ (2005) Tophaceous gout of the lumbar spine mimicking infectious spondylodiscitis and epidural abscess: MR imaging findings. J Clin Neurosci 12:44–46
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Hasturk, A.E., Basmaci, M., Canbay, S. et al. Spinal gout tophus: a very rare cause of radiculopathy. Eur Spine J 21 (Suppl 4), 400–403 (2012). https://doi.org/10.1007/s00586-011-1847-x
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DOI: https://doi.org/10.1007/s00586-011-1847-x