@article{ART002331582},
author={우영하 and Ju-Seon Jeon and 정흥태 and In-Seung Lee},
title={Tophaceous Gout of the Lumbar Spine Mimicking Infectious Spondylodiscitis and Epidural Abscess},
journal={Journal of Korean Society of Spine Surgery},
issn={2093-4378},
year={2018},
volume={25},
number={1},
pages={18-23}
TY - JOUR
AU - 우영하
AU - Ju-Seon Jeon
AU - 정흥태
AU - In-Seung Lee
TI - Tophaceous Gout of the Lumbar Spine Mimicking Infectious Spondylodiscitis and Epidural Abscess
JO - Journal of Korean Society of Spine Surgery
PY - 2018
VL - 25
IS - 1
PB - Korean Society Of Spine Surgery
SP - 18
EP - 23
SN - 2093-4378
AB - Study Design: Case report Objectives: We report a case of surgically proven tophaceous gout of the lumbar spine at the L5-S1 level in a 43-year-old man that mimicked infectious spondylodiscitis and epidural abscess on magnetic resonance (MR) images.
Summary of Literature Review: Some patients have chronic back pain with an epidural mass. Among the many causes of epidural masses, tophaceous gout of the lumbar spine is very rare.
Materials and Methods: A 43-year-old man presented with fever and chronic back pain with radiating pain. In an MR image of L4- 5, an abnormal subcutaneous mass was found in the posterior epidural space. The subcutaneous mass was isointense on T1-weighted images compared with the intervertebral disc, and focally and strongly hyperintense and heterogeneous on T2-weighted images.
After the intravenous administration of gadolinium contrast, the mass was fairly homogenous, with a low signal intensity and without enhancement. With the diagnosis of infective spondylitis with epidural abscess, we performed a decompressive mass resection.
Results: The pathologic examination revealed multinuclear giant cells and amorphous crystalline fibrous tissue. The lesion was diagnosed as tophaceous gout.
Conclusions: This case underscores the importance of considering tophaceous gout in the differential diagnosis of an epidural mass in a patient with chronic back pain.
KW - Gout;Epidural abscess;Magnetic resonance imaging
DO -
UR -
ER -
우영하, Ju-Seon Jeon, 정흥태 and In-Seung Lee. (2018). Tophaceous Gout of the Lumbar Spine Mimicking Infectious Spondylodiscitis and Epidural Abscess. Journal of Korean Society of Spine Surgery, 25(1), 18-23.
우영하, Ju-Seon Jeon, 정흥태 and In-Seung Lee. 2018, "Tophaceous Gout of the Lumbar Spine Mimicking Infectious Spondylodiscitis and Epidural Abscess", Journal of Korean Society of Spine Surgery, vol.25, no.1 pp.18-23.
우영하, Ju-Seon Jeon, 정흥태, In-Seung Lee "Tophaceous Gout of the Lumbar Spine Mimicking Infectious Spondylodiscitis and Epidural Abscess" Journal of Korean Society of Spine Surgery 25.1 pp.18-23 (2018) : 18.
우영하, Ju-Seon Jeon, 정흥태, In-Seung Lee. Tophaceous Gout of the Lumbar Spine Mimicking Infectious Spondylodiscitis and Epidural Abscess. 2018; 25(1), 18-23.
우영하, Ju-Seon Jeon, 정흥태 and In-Seung Lee. "Tophaceous Gout of the Lumbar Spine Mimicking Infectious Spondylodiscitis and Epidural Abscess" Journal of Korean Society of Spine Surgery 25, no.1 (2018) : 18-23.
우영하; Ju-Seon Jeon; 정흥태; In-Seung Lee. Tophaceous Gout of the Lumbar Spine Mimicking Infectious Spondylodiscitis and Epidural Abscess. Journal of Korean Society of Spine Surgery, 25(1), 18-23.
우영하; Ju-Seon Jeon; 정흥태; In-Seung Lee. Tophaceous Gout of the Lumbar Spine Mimicking Infectious Spondylodiscitis and Epidural Abscess. Journal of Korean Society of Spine Surgery. 2018; 25(1) 18-23.
우영하, Ju-Seon Jeon, 정흥태, In-Seung Lee. Tophaceous Gout of the Lumbar Spine Mimicking Infectious Spondylodiscitis and Epidural Abscess. 2018; 25(1), 18-23.
우영하, Ju-Seon Jeon, 정흥태 and In-Seung Lee. "Tophaceous Gout of the Lumbar Spine Mimicking Infectious Spondylodiscitis and Epidural Abscess" Journal of Korean Society of Spine Surgery 25, no.1 (2018) : 18-23.
