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Multiple tophi deposits in the spine: A case report
Hua-Jian Chen1,2, De-Yuan Chen2, Shao-Zhen Zhou1,2
1Graduate School, Graduate School of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510000, Guangdong Province, China.
World Journal of Clinical Cases
|October 31, 2022
Summary
Spinal gout (SG) is a rare condition affecting the spine. Early surgical intervention for spinal gout is crucial for relieving neurological symptoms and preventing permanent deficits.
Area of Science:
- Orthopedics
- Rheumatology
- Neurosurgery
Background:
- Spinal gout (SG) is an uncommon condition characterized by tophi deposits in the spinal column.
- Limited case reports exist, highlighting the rarity and diagnostic challenges of SG.
Observation:
- A 42-year-old male with a decade-long history of gout presented with cervicothoracic and lumbar spinal tophi.
- Symptoms included neck pain and limb weakness, indicative of neurological compromise.
- Imaging revealed bone and joint tophus erosion.
Findings:
- Surgical tophi excision and internal fixation were performed.
- Histopathology confirmed gout-like lesions.
- Post-operatively, neurological symptoms resolved, and muscle strength improved.
Implications:
- High clinical suspicion for SG is warranted in chronic gout patients with spinal and neurological symptoms.
- Prompt surgical decompression and debridement are vital for managing neurological deficits.
- Effective management involves surgical intervention, dietary modifications, and lifestyle changes.
