Tophaceous gout of the lumbar spine mimicking infectious spondylodiscitis and epidural abscess: MR imaging findings.

@article{Yen2005TophaceousGO,
  title={Tophaceous gout of the lumbar spine mimicking infectious spondylodiscitis and epidural abscess: MR imaging findings.},
  author={P Yen and Jui-Feng Lin and Shin-Yuan Chen and S Lin},
  journal={Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia},
  year={2005},
  volume={12 1},
  pages={44-6}
}
We report a case of surgically proven tophaceous gout of the lumbar spine at the L5-S1 level that mimicked infectious spondylodiscitis and epidural abscess on magnetic resonance (MR) images in a 65-year-old woman. The spinal tophi were hypointense on T1-weighted images; focally and strongly hyperintense on T2-weighted images; and heterogeneously, marginally enhancing on contrast-enhanced T1-weighted images. The aim of this report is to emphasize the importance of considering this disease entity… CONTINUE READING

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