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- Title
Tophaceous pseudogout of the thoracic spine.
- Authors
Srinivasan, Vasisht; Kesler, Henry; Johnson, Mahlon; Dorfman, Howard; Walter, Kevin
- Abstract
Calcium pyrophosphate dihydrate deposition disease (CPDD, tophaceous pseudogout) is a rare crystal arthropathy characterized by pyrophosphate crystal deposition in joints, synovitis and chondrocalcinosis on imaging. We present the case of a 72-year-old man with 6 months of left chest pain; magnetic resonance imaging revealed a T9/T10 herniated disc. Intraoperatively, the material was sent for pathological analysis revealing pseudogout. Axial calcium pyrophosphate crystal deposition is rare but reported in the literature and found at the craniocervical junction and skull. Spinal calcium pyrophosphate crystal deposition is rare in the thoracic spine. It is often asymptompatic and can involve the disc or ligaments. This case demonstrates a unique presentation of CPDD.
- Subjects
CASE studies; CHONDROCALCINOSIS; THORACIC vertebrae; PYROPHOSPHATES; DIAGNOSTIC imaging
- Publication
Acta Neurochirurgica, 2012, Vol 154, Issue 4, p747
- ISSN
0001-6268
- Publication type
Report
- DOI
10.1007/s00701-012-1308-2