ArticleKorean Journal of Spine2017
Tophaceous Gout in the Lumbar Spinal Canal Mimicking Epidural Spinal Tumor.
Article in Korean Journal of Spine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed, 14 citations in OpenAlex.
- Axial skeleton involvement in gout: clinical spectrum and dual-energy computed tomography findings from a descriptive real-world study.Clinical rheumatology · 2026Article
- Diagnostic challenges of spinal gout: patient series.Journal of neurosurgery. Case lessons · 2025Article
- A Rare Case Report of an Adult With Intraspinal Gouty Stones and Concurrent Knee Joint Involvement.Clinical case reports · 2025Article
- Spinal gout with intervertebral foramen infiltration: A rare case perfectly mimicking degenerative lumbar disc disease.Experimental and therapeutic medicine · 2024Article
- A unique presentation of acute tophaceous gout in the lumbar spine causing cauda equina syndrome.Radiology case reports · 2023Article
- Beyond Medical Treatment: Surgical Treatment of Gout.Current rheumatology reports · 2020Review
- Percutaneous transforaminal endoscopic decompression for the treatment of intraspinal tophaceous gout: A case report.Medicine · 2020Article
- Understanding spinal gout: A comprehensive study of 88 cases and their clinical implications.Journal of craniovertebral junction & spineReview
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Gout is an inflammatory arthritis characterized by deposition of monosodium urate crystals in joints. Though gout frequently involves the big toe or other extremities, it rarely occurs in the spinal canal. A 35-year-old man presented with left L5 radiculopathy. He had leg pain for 8 months and received several epidural steroid injections. Magnetic resonance imaging revealed a 1.7×1.1-cm ovoid contrast-enhancing mass, causing pressure erosion of the left L5 pedicle. Microscopic laminotomy was performed at the left L5 lamina. White chalky materials, identified at the left lateral recess of the spinal canal, were removed in a piecemeal manner. The histopathologic diagnosis was tophaceous gout. Although the patient's radiating pain did not resolve postoperatively, it was dramatically relieved with uric acid-lowering medications. If a mass effect is suspected, surgical removal of gouty tophi might aid in symptom release and definite diagnosis. Medical treatment after rheumatology consultation is crucial.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.