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American Journal of Neuroradiology, Vol 17, Issue 10 1949-1952, Copyright © 1996 by American Society of Neuroradiology


ARTICLES

Tophaceous gout of the lumbar spine mimicking an epidural abscess: MR features

VM Bonaldi, H Duong, MR Starr, L Sarazin and J Richardson
Department of Diagnostic Radiology, Montreal General Hospital, McGill University, Quebec, Canada.

We present the MR findings in a case of tophaceous gout of the lumbar spine with cauda equina compression, mimicking an epidural abscess. The diagnosis was clinically unsuspected and confirmed at laminectomy. Tophus material in the paraspinal soft tissues appeared intermediate in signal intensity and showed heterogeneous contrast enhancement.


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