Medically reversible quadriparesis in tophaceous gout

Arch Phys Med Rehabil. 1985 Mar;66(3):188-90.


This case report presents a successful nonoperative outcome of a type II odontoid fracture secondary to severe tophaceous gout. The patient presented with spastic quadriparesis and tophaceous involvement of the odontoid process with fracture and C1-C2 instability. He refused surgery. However, his odontoid process stabilized with the used of a collar, and he regained almost normal strength plus independence in self-care and ambulation, demonstrating that an unstable type II odontoid fracture secondary to tophaceous gout can stabilize with conservative management.

Publication types

  • Case Reports

MeSH terms

  • Axis, Cervical Vertebra*
  • Fractures, Bone / diagnosis
  • Fractures, Bone / etiology*
  • Fractures, Bone / therapy
  • Gout / complications*
  • Gout / diagnosis
  • Humans
  • Male
  • Middle Aged
  • Odontoid Process*
  • Quadriplegia / diagnosis
  • Quadriplegia / etiology*
  • Quadriplegia / therapy
  • Spinal Cord Compression / complications
  • Spinal Cord Compression / therapy