Medically reversible quadriparesis in tophaceous gout.
This case report presents a successful nonoperative outcome of a type II odontoid fracture secondary to severe tophaceous gout. The patient presented with spastic quadriparesis and tophaceous involvement of the odontoid process with fracture and C1-C2 instability. He refused surgery. However, his odontoid process stabilized with the used of a collar, and he regained almost normal strength plus independence in self-care and ambulation, demonstrating that an unstable type II odontoid fracture secondary to tophaceous gout can stabilize with conservative management.
D001368:Axis, Cervical Vertebra; D050723:Fractures, Bone / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006073:Gout / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009809:Odontoid Process; D011782:Quadriplegia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013117:Spinal Cord Compression / Q000150:complications / Q000628:therapy