Spinal tophaceous gout encasing the thoracic spinal cord

Gout rarely compresses the thoracic spinal cord. A 43-year-old man presented with lower limb paraparesis. MRI showed a soft tissue swelling at the level of T10/T11. He was managed with a laminectomy and evacuation of a presumed abscess and started on intravenous antibiotics. However, histology confi...

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Veröffentlicht in:	BMJ case reports 2016-10, Vol.2016, p.bcr2016214869
Hauptverfasser:	Subrati, Nagina, Werndle, Melissa C, Tolias, Christos M
Format:	Artikel
Sprache:	eng
Schlagworte:	Abscesses Adult Antihypertensives Creatinine Diagnosis, Differential Epidural Gout - complications Humans Laminectomy Leg Low Back Pain - etiology Magnetic Resonance Imaging Male Muscle Weakness - etiology Neuropathology Paraparesis - etiology Rheumatism Spinal cord Spinal Cord Compression - etiology Spinal Cord Compression - surgery Thoracic Vertebrae United Kingdom Unusual Presentation of More Common Disease/Injury Uric acid White
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Beschreibung
Zusammenfassung:	Gout rarely compresses the thoracic spinal cord. A 43-year-old man presented with lower limb paraparesis. MRI showed a soft tissue swelling at the level of T10/T11. He was managed with a laminectomy and evacuation of a presumed abscess and started on intravenous antibiotics. However, histology confirmed tophaceous gout.
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2016-214869