Emergency Radiology

, Volume 5, Issue 3, pp 162–163 | Cite as

Tophaceous gout of the cervical spine causing cord compression: Computed tomographic diagnosis

  • Vincenzo Giuliano
  • Jonathan E. Keough
  • Simin Dadparvar
Case Report


Tophaceous gout causing cord compression with a normal serum urate level and with no current symptoms of polyradiculopathy is a rare occurrence. We describe the computed tomographic (CT) findings of large, well-defined marginal and juxtamarginal erosions containing urate deposits which resulted in extradural cord compression in the cervical spine of a patient with chronic polyarticular tophaceous gout.

Key Words

Gout Monosodium urate Cord compression 


  1. 1.
    Resnick D, Reinke RT. Early onset of gout arthritis. Radiology 1975;114:67–73.PubMedGoogle Scholar
  2. 2.
    Fenton P, Young S, Pritis K. Gout in the spine. J Bone Joint Surg Am 1995;77:767–71.PubMedGoogle Scholar
  3. 3.
    Jajic I. Gout in the spine and sacroiliac joints: radiologic manifestations. Skeletal Radiol 1982;8:209–12.CrossRefPubMedGoogle Scholar

Copyright information

© American Society of Emergency Radiology 1998

Authors and Affiliations

  • Vincenzo Giuliano
    • 1
  • Jonathan E. Keough
    • 1
  • Simin Dadparvar
    • 1
  1. 1.Department of Radiologic SciencesAllegheny University Hospitals-Hahnemann DivisionPhiladelphia

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