Case of lumbar spinal stenosis and chronic tophaceous gout

Muhammad Yassar Jazaib Ali; Manzar Hussain

doi:10.25259/SNI_504_2023

Case of lumbar spinal stenosis and chronic tophaceous gout

Surg Neurol Int. 2023 Aug 18:14:294. doi: 10.25259/SNI_504_2023. eCollection 2023.

Authors

Muhammad Yassar Jazaib Ali¹, Manzar Hussain¹

Affiliation

¹ Department of Neurosurgery, Liaquat National Hospital and Medical College, Karachi, Pakistan.

Abstract

Background: Rarely, chronic tophaceous gout can result in lumbar spinal stenosis and neural compression.

Case description: A 67-year-old male presented with the radiographic and magnetic resonance findings of gout involving and causing compression of the lumbar spine that responded to surgical decompression.

Conclusion: It is difficult to diagnose lumbar spinal stenosis secondary to tophaceous gout. Notably, the treatment, based on the clinical presentation, may include both medication and surgical decompression.

Keywords: Joint inflammation; Lumbar spinal stenosis; Multidisciplinary approach; Tophaceous gouty arthritis; Tophi; Urate crystals.

Publication types

Case Reports