Skip to main content

Advertisement

Log in

Cervical arthropathy caused by gout: stabilisation without decompression

  • Case Report
  • Published:
European Spine Journal Aims and scope Submit manuscript

Abstract

The cervical spine is a rare site where tophaceous gout has been identified. There are currently 15 described cases in the literature of gouty involvement of the cervical spine with only three cases involving only the atlanto-axial region. We add the fourth of such cases and only the second to be managed operatively.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

References

  1. Pillinger MH, Rosenthal P, Abeles AM (2007) Hyperuricemia and gout: new insights into pathogenesis and treatment. Bull NYU Hosp Jt Dis 65(3):215–221

    PubMed  Google Scholar 

  2. James WD, Berger TG (2006) Andrews’ diseases of the skin: clinical dermatology. Saunders, Philadelphia/Elsevier, Amsterdam, p 546

  3. Wazir NN, Moorthy V, Amalourde A, Lim HH (2005) Tophaceous gout causing atlanto-axial subluxation mimicking rheumatoid arthritis: a case report. J Orthopaed Surg 13(2):203–206

    CAS  Google Scholar 

  4. Alarcon GS, Reveille JD (1987) Gouty arthritis of the axial skeleton including the sacroiliac joints. Arch Intern Med 147:2018–2019

    Article  PubMed  CAS  Google Scholar 

  5. Cabot J, Mosel L, Kong A, Hayward M (2005) Tophaceous gout in the cervical spine. Skelet Radiol 34:803–806

    Article  Google Scholar 

  6. Diaz A, Porhiel V, Sabatier P, Taha S, Ragrgui O, Comoy J (2003) Tophaceous gout of the cervical spine causing cord compression. Case report and review of the literature. Neurochirurgie 49:600–604

    PubMed  CAS  Google Scholar 

  7. Duprez TP, Malghem J, Vande Berg BC, Noel HM, Munting EA, Maldague BE (1996) Gout in the cervical spine: MR pattern mimicking diskovertebral infection. Am J Neuroradiol 17:151–153

    PubMed  CAS  Google Scholar 

  8. Kersley GD, Mandel L, Jeffrey MR (1950) Gout: an unusual case with softening and subluxation of the first cervical vertebra and splenomegaly. Ann Rheum Dis 9:282–304

    Article  PubMed  CAS  Google Scholar 

  9. Magid SK, Gray GE, Anand A (1982) Spinal cord compression by tophi in a patient with chronic polyarthritis: case report and literature review. Arthritis Rheum 24:1431–1434

    Article  Google Scholar 

  10. Jacobs SR, Edeiken J, Rubin B, DeHoratius RJ (1985) Medically reversible quadraparesis in tophaceous gout. Arch Phys Med Rehabil 66:188–190

    PubMed  CAS  Google Scholar 

  11. Miller JD, Percy JS (1984) Tophaceous gout in the cervical spine. J Rheumatol 11:862–865

    PubMed  CAS  Google Scholar 

  12. Sabharwal S, Gibson T (1988) Cervical gout. Br J Rheumatol 27:413–414

    Article  PubMed  CAS  Google Scholar 

  13. Sequeira W, Bouffard A, Salgia K, Skosey J (1981) Quadriparesis in tophaceous gout. Arthritis Rheum 24:1428–1430

    Article  PubMed  CAS  Google Scholar 

  14. Van de Laar MA, Van Soesbergeb RM, Matricali B (1987) Tophaceous gout of the cervical spine without peripheral tophi. Arthritis Rheum 30:237–238

    Article  PubMed  Google Scholar 

  15. Vinstein AL, Cockerill EM (1972) Involvement of the spine in gout. A case report. Radiology 103:311–331

    PubMed  CAS  Google Scholar 

  16. Yen HL, Cheng CH, Lin JW (2002) Cervical myelopathy due to gouty tophi in the intervertebral disc space. Acta Neurochir 144:205–207

    Article  Google Scholar 

  17. Fraser JF, Anand VK, Schwartz TH (2007) Endoscopic biopsy sampling of tophaceous gout of the odontoid process. J Neurosurg Spine 7:61–64

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None of the authors has any potential conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dushan Thavarajah.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Thavarajah, D., Hussain, R. & Martin, J.L. Cervical arthropathy caused by gout: stabilisation without decompression. Eur Spine J 20 (Suppl 2), 231–234 (2011). https://doi.org/10.1007/s00586-010-1604-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00586-010-1604-6

Keywords

Navigation