{"id":"aec53e58-f5d4-495c-8b7c-f8b3d11c3349","slug":"acute-presentation-of-spinal-gouty-arthritis-a-case-report-and-review-of-literature","title":"Acute presentation of spinal gouty arthritis: A case report and review of literature","authors":["Asad S. Akhter","Ahmed Mohyeldin","Andrew J. Grossbach"],"abstract":"Background: Gout is an inflammatory arthritis that results from faulty purine metabolism, affecting approximately 4% of adults in the US, and predominately affects people in the fourth decade of life. Further, spinal gout is rarely the first presentation of gout, especially in younger individuals. Case Description: A 26-year-old male came to the emergency room with acute lower extremity numbness and weakness. The MR demonstrated an enhancing epidural lesion at T6–T8 in the mid-thoracic spine. He subsequently underwent a decompressive laminectomy and fusion at levels T6–T9, resulting in full recovery 1 year later. The pathology demonstrated needle-like monosodium urate crystals consistent with the diagnosis of spinal gouty arthritis. Conclusion: Gout rarely initially presents in a young adult in the spine. Here, we reviewed the case of spinal gout in a 26-year-old male who successfully underwent spinal surgery.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/aec53e58-f5d4-495c-8b7c-f8b3d11c3349/featured/hero-1781563691493.png","publishDate":"2019-11-29T00:00:00.000Z","doi":"10.25259/SNI_528_2019","categories":["Spine","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2019/12/9776/SNI-10-232.pdf"}