Gout or pseudogout, caused by deposition of crystals, rarely affects the spine. We report 4 cases with gout or pseudogout in the lumbar spine. Two had cauda equina syndrome and another 2 had spinal stenosis. To avoid unnecessary surgery, this should be considered in the differential diagnosis when treating patients with histories of gout or pseudogout for spinal problems.
FyeKHWeinsteinPRDonaldF. Compressive cervical myelopathy due to calcium pyrophosphate dihydrate deposition disease: Report of a case and review of the literature. Arch Intern Med1999;159:189–93.
2.
YenPSLinJFChenSYLinSZ. Tophaceous gout of the lumbar spine mimicking infectious spondylodiscitis and epidural abscess: MR imaging findings. J Clin Neurosci2005;12:44–6.
3.
HsuCYShihTTHuangKMChenPQSheuJJLiYW. Tophaceous gout of the spine: MR imaging features. Clin Radiol2002;57:919–25.
4.
KellyJLimCKamelMKeohaneCO'SullivanM. Topacheous gout as a rare cause of spinal stenosis in the lumbar region. Case report. J Neurosurg Spine2005;2:215–7.
5.
MahmudTBasuDDysonPH. Crystal arthropathy of the lumbar spine: A series of six cases and a review of the literature. J Bone Joint Surg Br2005;87:513–7.
6.
BarrettKMillerMLWilsonJT. Tophaceous gout of the spine mimicking epidural infection: Case report and review of the literature. Neurosurgery2001;48:1170–3.
7.
ThorntonFJTorreggianiWCBrennanP. Tophaceous gout of the lumbar spine in a renal transplant patient: A case report and literature review. Eur J Radiol2000;36:123–5.
8.
MekelburgKRahimiAR. Gouty arthritis of the spine: Clinical presentation and effective treatments. Geriatrics2000;55:71–4.
9.
PaquetteSLachBGuiotB. Lumbar radiculopathy secondary to gouty tophi in the filum terminale in a patient without systemic gout: Case report. Neurosurgery2000;46:986–8.
10.
GinesRBatesDJ. Tophaceous lumbar gout mimicking an epidural abscess. Am J Emerg Med1998;16:216.
11.
KingJCNicholasC. Gouty arthropathy of the lumbar spine: A case report and review of the literature. Spine1997;22:2309–12.
12.
BonaldiVMDuongHStarrMRSarazinLRichardsonJ. Tophaceous gout of the lumbar spine mimicking an epidural abscess: MR features. AJNR Am J Neuroradiol1996;17:1949–52.
13.
MillerLJPruettSWLosadaRFruauffASagermanP. Clinical image. Tophaceous gout of the lumbar spine: MR findings. J Comput Assist Tomogr1996;20:1004–5.
14.
FentonPYoungSPrutisK. Gout of the spine. Two case reports and a review of the literature. J Bone Joint Surg Am1995;77:767–71.
15.
Staub-SchmidtTChaouatAReyDBlochJGChristmannD. Spinal involvement in gout. Arthritis Rheum1995;38:139–41.
16.
VervaeckMDe KeyserJPauwelsPFrecourtND'HaensJEbingerG. Sudden hypotonic paraparesis caused by tophaceous gout of the lumbar spine. Clin Neurol Neurosurg1991;93:233–6.
17.
BatyVProstBJouvetALaurentJValleeB. Acute spinal cord compression and calcium pyrophosphate deposition disease. Case illustration. J Neurosurg2003;99(2 Suppl):240.
18.
GadgilAAEisensteinSMDarbyAPullicinoCassar V. Bilateral symptomatic synovial cysts of the lumbar spine caused by calcium pyrophosphate deposition disease: A case report. Spine2002;27:E428–31.
19.
FujishiroTNabeshimaYYasuiSFujitaIYoshiyaSFujiiH. Pseudogout attack of the lumbar facet joint: A case report. Spine2002;27:E396–8.
20.
BabaHMaezawaYFurusawaNImuraSTomitaK. The role of calcium deposition in the ligamentum flavum causing a cauda equina syndrome and lumbar radiculopathy. Paraplegia1995;33:219–23.
21.
SalcmanMKhanASymondsDA. Calcium pyrophosphate arthropathy of the spine: Case report and review of the literature. Neurosurgery1994;34:915–8.
BrownTRQuinnSFD'AgostinoAN. Deposition of calcium pyrophosphate dihydrate crystals in the ligamentum flavum: Evaluation with MR imaging and CT. Radiology1991;178:871–3.
