Services de rhumatologie, radiologie, CHU de Brazzaville, BP 32, Brazzaville, Congo.
Joint Bone Spine. 2010 Mar;77(2):187-8. doi: 10.1016/j.jbspin.2009.12.004. Epub 2010 Feb 12.
We report a case of thoracic (T10) spinal cord compression by a tophus in a patient with known chronic gout. Spastic paraplegia developed gradually over 6 months in this 43-year-old man with hypertension, alcohol abuse, and chronic gouty arthritis with tophi. Magnetic resonance imaging and computed tomography visualized an intradural nodule measuring 1.5cm in diameter at the level of T10, as well as geodes in the left T10 lamina and left T9-T10 articular processes. The nodule was removed surgically and shown by histological examination to be a tophus. The neurological impairments resolved rapidly and completely. We found about 60 similar cases in the literature. Spinal cord compression in a patient with chronic gout can be caused by a tophus.
我们报告一例由痛风石引起的胸（T10）脊髓压迫症，患者患有已知的慢性痛风。这位 43 岁的男性患有高血压、酗酒和慢性痛风性关节炎伴痛风石，逐渐出现痉挛性截瘫，病程历时 6 个月。磁共振成像和计算机断层扫描显示 T10 水平有一个直径 1.5cm 的硬膜内结节，以及左侧 T10 椎板和左侧 T9-T10 关节突的结石。该结节通过手术切除，并通过组织学检查证实为痛风石。神经功能障碍迅速而完全地恢复。我们在文献中发现了大约 60 例类似的病例。慢性痛风患者的脊髓压迫可由痛风石引起。
