Tophaceous gout in thoracic spine mimicking meningioma: A case report and literature review.

ABSTRACT:

Background

Gout is a common metabolic disorder of purine metabolism, causing arthritis in the distal joints of the appendicular skeleton. Spine involvement is rare, and very few cases of spinal gout have been reported. The authors present a rare case of axial gout with tophaceous deposits in the thoracic spinal canal resulting in cord compression and mimicking a meningioma.

Case description

A 33-year-old male presented with chronic mid back pain and a progressive paraparesis. The presumed diagnosis was meningioma based on MR imaging with/without contrast that showed a posterolateral, right-sided, and T10-T11 intradural extramedullary lesion. Notable, was hyperuricemia found on hematological studies. The patient underwent a decompressive laminectomy (T9-T11) for excision of t

SUBMITTER: Mishra R 

PROVIDER: S-EPMC7656021 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature