{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T23:39:55Z","timestamp":1783381195274,"version":"3.54.6"},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"9","license":[{"start":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T00:00:00Z","timestamp":1630281600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,30]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Although spinal involvement by gout is not uncommon, spinal gout leading to symptomatic spinal cord compression in the thoracic spine is very rare and poses a diagnostic challenge by mimicking symptoms of more common diagnoses such as epidural abscess and malignancy. An even more unique presentation is spinal gout causing thoracic cord compression leading to acute paraplegia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors present an illustrative case of a 35-year-old man with thoracic spinal compression by tophaceous gout who developed rapid progression to complete paraplegia over a 5-day period. Magnetic resonance imaging of the thoracic spine revealed a cystic-appearing lesion within the dorsal extradural space of the lower thoracic spine extending from T8 to T10 accompanied by compression of the spinal cord. An emergent T9\u201310 laminectomy was performed, and the occupying lesion in the thoracic spine was resected. The diagnosis of spinal tophaceous gout was made by pathological examination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Although varying clinical manifestations of spinal gout have been reported in the literature, the patient\u2019s age and the rapid progression to complete paraplegia over a 5-day period reveals a unique presentation that broadens understanding of the manner in which this condition can present and allow more rapid diagnosis and treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case21308","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T03:04:07Z","timestamp":1630292647000},"source":"Crossref","is-referenced-by-count":7,"title":["Gout in the thoracic spine causing acute paraplegia: illustrative case"],"prefix":"10.3171","volume":"2","author":[{"given":"Lacin","family":"Koro","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Khanna","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominick","family":"Richards","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean G.","family":"Karahalios","sequence":"additional","affiliation":[{"name":"Brain & Spine Institute, Advocate Aurora Health, Downers Grove, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"12","key":"b1","series-title":"Curr Rheumatol Rep","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1007\/s11926-015-0547-7","article-title":"Gout in the spine: imaging, diagnosis, and outcomes","volume":"17","author":"Toprover M","year":"2015","unstructured":"Toprover M, Krasnokutsky S, Pillinger MH. 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