Cervical cord compression due to intradiscal gouty tophus: brief report

Spine (Phila Pa 1976). 2012 Nov 15;37(24):E1534-6. doi: 10.1097/BRS.0b013e31826f2886.


Study design: We describe an unusual cause of myelopathy with a discussion of similar cases previously reported in the literature.

Objective: To report a case of myelopathy due to intradiscal gouty tophus.

Summary of background data: Spinal involvement in gout is uncommon. Cervical spinal cord compression caused by gout is particularly rare.

Methods: We report the case of a 71-year-old man with a history of hyperuricemia gout. Spastic quadriparesis developed for more than 4 months. Magnetic resonance image of the cervical spine revealed a herniated cervical disc at the C3-C4 level. Anterior discectomy was performed. Intradiscal chalky white granular material was found during surgery.

Results: Histological examination of the surgical specimen demonstrated a gouty tophus. The patient regained strength in all extremities in the postoperative period and required rehabilitation treatment.

Conclusion: Spinal gout should be considered in all patients presenting myelopathy and history of gout. When progressive neurological symptoms develop, surgical decompression can provide a satisfactory outcome.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cervical Vertebrae / pathology*
  • Cervical Vertebrae / surgery
  • Decompression, Surgical
  • Gout / complications*
  • Gout / pathology
  • Gout / surgery
  • Humans
  • Intervertebral Disc / pathology*
  • Intervertebral Disc / surgery
  • Male
  • Spinal Cord Compression / etiology*
  • Spinal Cord Compression / pathology
  • Spinal Cord Compression / surgery
  • Spinal Fusion
  • Treatment Outcome