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Case Reports
. 2005 Jan;12(1):44-6.
doi: 10.1016/j.jocn.2004.03.020.

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

Pao-Sheng Yen  1 , Jui-Feng Lin, Shin-Yuan Chen, Shinn-Zong Lin
Affiliations
Case Reports

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

Pao-Sheng Yen et al. J Clin Neurosci. 2005 Jan.

Abstract

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 in the differential diagnosis of an epidural mass in a patient with chronic back pain.

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