Paraparesis Revealing Tophaceous Gout

Abstract : A 77-year-old man with a history of intermittent inflammatory arthritis of the feet was hospitalized for a 6-month progressive paraparesis resulting in severe gait impairment. Magnetic resonance imaging revealed a 4cm extradural mass lesion at the T10 level, compressing the spinal cord, with heterogeneous peripheral enhancement after gadolinium.