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Laminectomy was performed, with follow-up biopsy revealing multiple multinucleated giant cells and monosodium urate (MSU) crystals. He was ultimately diagnosed with spinal gout. Patient\u2019s symptoms did not resolve immediately after surgery. Yet with the administration of intravenous glucocorticoids and a course of non-steroidal anti-inflammatory drugs, he slowly regained sensation, leaving the hospital with complete resolution of symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2018-224406","type":"journal-article","created":{"date-parts":[[2018,5,26]],"date-time":"2018-05-26T08:29:44Z","timestamp":1527323384000},"page":"bcr-2018-224406","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Spinal tophaceous gout presenting in a young adult without pain"],"prefix":"10.1136","volume":"2018","author":[{"given":"Zaid","family":"Al-Jebaje","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University at Buffalo Catholic Health, Buffalo, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Mellon","family":"Elibol","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mercy Hospital of Buffalo, Buffalo, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Peters","sequence":"additional","affiliation":[{"name":"University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Alameri","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University at Buffalo Catholic Health, Buffalo, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,5,26]]},"reference":[{"key":"2025082707502558000_2018.may25_1.bcr-2018-224406.1","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1590\/S0482-50042013000300008","article-title":"Gout in the spine","volume":"53","author":"Hasegawa","year":"2013","journal-title":"Revista Brasileira de Reumatologia"},{"key":"2025082707502558000_2018.may25_1.bcr-2018-224406.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2014.01.001"},{"key":"2025082707502558000_2018.may25_1.bcr-2018-224406.3","doi-asserted-by":"publisher","DOI":"10.1016\/S1726-4901(09)70354-5"},{"key":"2025082707502558000_2018.may25_1.bcr-2018-224406.4","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.14-6-683"},{"key":"2025082707502558000_2018.may25_1.bcr-2018-224406.5","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21773"},{"key":"2025082707502558000_2018.may25_1.bcr-2018-224406.6","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1007\/s00586-011-1847-x","article-title":"Spinal gout tophus: a very rare cause of radiculopathy","volume":"21 Suppl 4","author":"Hasturk","year":"2012","journal-title":"Eur Spine J"},{"key":"2025082707502558000_2018.may25_1.bcr-2018-224406.7","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.111517"},{"key":"2025082707502558000_2018.may25_1.bcr-2018-224406.8","doi-asserted-by":"crossref","first-page":"766","DOI":"10.5312\/wjo.v7.i11.766","article-title":"Spinal gout: A review with case illustration","volume":"7","author":"Elgafy","year":"2016","journal-title":"World J Orthop"},{"key":"2025082707502558000_2018.may25_1.bcr-2018-224406.9","doi-asserted-by":"crossref","DOI":"10.1038\/sj.sc.3101477","article-title":"Laminectomy for cervical myelopathy","volume":"41","author":"Epstein","year":"2003","journal-title":"Spinal Cord"},{"key":"2025082707502558000_2018.may25_1.bcr-2018-224406.10","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.clineuro.2014.02.019","article-title":"Cervical spondylotic myelopathy in the young adult: a review of the literature and clinical diagnostic criteria in an uncommon demographic","volume":"120","author":"Amenta","year":"2014","journal-title":"Clin Neurol Neurosurg"},{"key":"2025082707502558000_2018.may25_1.bcr-2018-224406.11","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.neurad.2011.04.003","article-title":"Tophaceous gout of the spine: case report and review of the literature","volume":"39","author":"Marinho","year":"2012","journal-title":"Journal of Neuroradiology"},{"key":"2025082707502558000_2018.may25_1.bcr-2018-224406.12","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1002\/jmrs.223","article-title":"Dual-energy CT in gout - 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