title: Tophaceous gout of the odontoid process causing glossopharyngeal, vagus, and hypoglossal nerve palsies.
abstract: Gout affecting the axial joints is uncommon; however, its involvement may be complicated by neurological symptoms associated with spinal compression at the affected level. Specific involvement of the odontoid process is even rarer. We report the first case of gout involving the odontoid process with resultant glossopharyngeal (CN IX), vagus (CN X) and hypoglossal (CN XII) nerve palsies.
authors.affiliation: Department of Rheumatology, Royal Perth Hospital, Perth, Western Australia, Australia. aptran7@msn.com
authors.forename: Ai
authors.initials: A
authors.lastname: Tran
authors.forename: David
authors.initials: D
authors.lastname: Prentice
authors.forename: Madelynn
authors.initials: M
authors.lastname: Chan
mesh_terms: D000368:Aged; D003389:Cranial Nerve Diseases / Q000209:etiology / Q000473:pathology*; D017809:Fatal Outcome; D005930:Glossopharyngeal Nerve / Q000473:pathology; D006073:Gout / Q000150:complications / Q000473:pathology* / Q000628:therapy; D006074:Gout Suppressants / Q000627:therapeutic use; D006801:Humans; D007002:Hypoglossal Nerve / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D009809:Odontoid Process / Q000473:pathology*; D009989:Orthotic Devices; D010243:Paralysis / Q000150:complications / Q000473:pathology*; D014630:Vagus Nerve / Q000473:pathology
chemical_list: D006074:Gout Suppressants