title: Spinal tophaceous gout encasing the thoracic spinal cord.
abstract: Gout rarely compresses the thoracic spinal cord. A 43-year-old man presented with lower limb paraparesis. MRI showed a soft tissue swelling at the level of T10/T11. He was managed with a laminectomy and evacuation of a presumed abscess and started on intravenous antibiotics. However, histology confirmed tophaceous gout.
authors.affiliation: Department of Neurosurgery, Kings College London, London, UK.
authors.forename: Nagina
authors.initials: N
authors.lastname: Subrati
authors.affiliation: Department of Neurosurgery, Kings College London, London, UK.
authors.forename: Melissa C
authors.initials: MC
authors.lastname: Werndle
authors.affiliation: Department of Neurosurgery, Kings College London, London, UK.
authors.forename: Christos M
authors.initials: CM
authors.lastname: Tolias
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006073:Gout / Q000150:complications*; D006801:Humans; D007796:Laminectomy; D007866:Leg; D017116:Low Back Pain / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D018908:Muscle Weakness / Q000209:etiology; D020335:Paraparesis / Q000209:etiology; D013117:Spinal Cord Compression / Q000209:etiology* / Q000601:surgery; D013904:Thoracic Vertebrae