title: Sudden hypotonic paraparesis caused by tophaceous gout of the lumbar spine.
abstract: Gouty arthritis of the axial skeleton is rare, and neurological complications due to spinal cord or nerve root compression secondary to tophaceous deposits have been seldom reported. We describe a patient with chronic gouty arthritis who developed an acute paraparesis caused by tophaceous cauda equina compression. Surgical removal of the mass resulted in complete recovery.
authors.affiliation: Department of Neurology, University Hospital, Vrije Universiteit Brussel, Belgium.
authors.forename: M
authors.initials: M
authors.lastname: Vervaeck
authors.forename: J
authors.initials: J
authors.lastname: De Keyser
authors.forename: P
authors.initials: P
authors.lastname: Pauwels
authors.forename: N
authors.initials: N
authors.lastname: Frecourt
authors.forename: J
authors.initials: J
authors.lastname: D'Haens
authors.forename: G
authors.initials: G
authors.lastname: Ebinger
mesh_terms: D015210:Arthritis, Gouty / Q000150:complications*; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D009192:Myelography; D010243:Paralysis / Q000209:etiology*; D013117:Spinal Cord Compression / Q000150:complications / Q000000981:diagnostic imaging; D013122:Spinal Diseases / Q000150:complications* / Q000000981:diagnostic imaging