Cervical cord compression due to intradiscal gouty tophus: brief report.
METHODS
We describe an unusual cause of myelopathy with a discussion of similar cases previously reported in the literature.


OBJECTIVE
To report a case of myelopathy due to intradiscal gouty tophus.


BACKGROUND
Spinal involvement in gout is uncommon. Cervical spinal cord compression caused by gout is particularly rare.


METHODS
We report the case of a 71-year-old man with a history of hyperuricemia gout. Spastic quadriparesis developed for more than 4 months. Magnetic resonance image of the cervical spine revealed a herniated cervical disc at the C3-C4 level. Anterior discectomy was performed. Intradiscal chalky white granular material was found during surgery.


RESULTS
Histological examination of the surgical specimen demonstrated a gouty tophus. The patient regained strength in all extremities in the postoperative period and required rehabilitation treatment.


CONCLUSIONS
Spinal gout should be considered in all patients presenting myelopathy and history of gout. When progressive neurological symptoms develop, surgical decompression can provide a satisfactory outcome.
Department of Neurosurgery, Hospital Universitari de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain. joseluis@gmail.com
Jose Luis
JL
Sanmillan Blasco
Noemi
N
Vidal Sarro
Alexei
A
Marnov
Juan José
JJ
Acebes Martín
D000368:Aged; D002574:Cervical Vertebrae / Q000473:pathology* / Q000601:surgery; D019299:Decompression, Surgical; D006073:Gout / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007403:Intervertebral Disc / Q000473:pathology* / Q000601:surgery; D008297:Male; D013117:Spinal Cord Compression / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013123:Spinal Fusion; D016896:Treatment Outcome