Endoscopic biopsy sampling of tophaceous gout of the odontoid process: Case report and review of the literature

Justin F. Fraser, Vijay K. Anand, Theodore H. Schwartz

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

The authors present the case of a 71-year-old man who presented with neck pain, a history of gout, and a mass in the dens. Results of transoral endoscopic biopsy sampling demonstrated tophaceous gout. The patient was treated medically and the pain resolved. Tophaceous gout isolated in the dens is extremely rare and should be considered in the differential diagnosis of masses in this region. With the aid of transoral or transnasal endoscopic biopsy sampling, the diagnosis can be reached in a minimally invasive manner.

Original languageEnglish
Pages (from-to)61-64
Number of pages4
JournalJournal of Neurosurgery: Spine
Volume7
Issue number1
DOIs
StatePublished - Jul 2007

Keywords

  • Crystal-associated disease
  • Dens
  • Endoscope
  • Gout
  • Odontoid
  • Tophus

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology

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