Spinal cord compression by tophaceous gout with fluorodeoxyglucose-positron-emission tomographic/MR fusion imaging.
A 36-year-old woman presented with lower extremity paralysis. Her past medical history included gout. Conventional radiography and MR imaging revealed bone erosion and soft tissue lesions of the thoracic spine. Fluorodeoxyglucose-positron-emission tomographic (FDG-PET) images revealed hypermetabolic lesions of the thoracic spine. A CT-guided biopsy was diagnostic for inflammatory tophaceous gout. This case describes the CT, MR, and FDG-PET imaging characteristics of acute inflammatory gout. FDG-PET imaging characteristics of this disorder have not been previously described.
Popovich
T
T
Department of Radiology, West Virginia University School of Medicine, Morgantown, WV, USA.
Carpenter
J S
JS
Rai
A T
AT
Carson
L V
LV
Williams
H J
HJ
Marano
G D
GD
D000328:Adult; D005260:Female; D019788:Fluorodeoxyglucose F18; D006073:Gout / Q000150:complications*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging; D019275:Radiopharmaceuticals; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013130:Spinal Stenosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D014055:Tomography, Emission-Computed; D014057:Tomography, X-Ray Computed
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18