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.