ArticleRadiology case reports2023
A unique presentation of acute tophaceous gout in the lumbar spine causing cauda equina syndrome.
Article in Radiology case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- A case series of calcium pyrophosphate deposition in the spine: An underrecognized debilitating disease.Journal of neuropathology and experimental neurology · 2026Article
- Diagnostic challenges of spinal gout: patient series.Journal of neurosurgery. Case lessons · 2025Article
- Understanding spinal gout: A comprehensive study of 88 cases and their clinical implications.Journal of craniovertebral junction & spineReview
- Tophaceous Gout in the Axial Skeleton: An Unusual Case with Key Imaging Characteristics.Kansas journal of medicineArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Gout is a common metabolic disease characterized by the deposition of monosodium urate (MSU) crystals and typically affects the peripheral joint, rarely involving the axial skeleton. We present a rare case of acute tophaceous gout in the lumbar spine causing cauda equina syndrome. A 60-year-old man with a history of gout and prior admissions for polyarticular gout flare presented with acute onset of bilateral lower limb numbness and weakness. He underwent surgical decompression with drainage of the epidural collection, with histology consistent with tophaceous gout. The patient made a full recovery postoperatively and was discharged uneventfully. Due to the high initial suspicion for gout, early spinal decompression surgery was performed, and the patient was started on medical therapy. Spinal tophaceous should be considered in the list of different diagnoses of spinal epidural masses especially in the context of a history of gouty arthritis.
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