Craniovertebral Gout
This is an old male patient who is a known case of gout with raised uric acid levels and neck pain. MRI cervical spinhe revealed C1-2 erosions and marrow edema, with retro-odontoid soft tissue which is isointense on T1 WI and hypointense on T2 WI. There was no significant post gadolinium enhancement. CT scan revealed erosive disease and retro-odontoid high density soft tissue. There was no evidence of tuberculosis and rheumatoid factor repeatedly was negative. Although rare but still possible gouty cystal deposition was the provisional diagnosis made and patient was followed up after 3 months with no serial change.
Dr.Sumer K Sethi, MD
Consultant Radiologist ,VIMHANS and CEO-Teleradiology Providers
Editor-in-chief, The Internet Journal of Radiology
Director, DAMS (Delhi Academy of Medical Sciences
Reviewed by Sumer Sethi
on
Saturday, July 26, 2008
Rating:
Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.
No comments:
Post a Comment