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Tophaceous gout of the odontoid process causing glossopharyngeal, vagus, and hypoglossal nerve palsies
Author(s) -
TRAN Ai,
PRENTICE David,
CHAN Madelynn
Publication year - 2011
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/j.1756-185x.2010.01565.x
Subject(s) - medicine , gout , glossopharyngeal nerve , hypoglossal nerve , odontoid process , vagus nerve , surgery , tongue , cervical spine , pathology , stimulation
Gout affecting the axial joints is uncommon; however, its involvement may be complicated by neurological symptoms associated with spinal compression at the affected level. Specific involvement of the odontoid process is even rarer. We report the first case of gout involving the odontoid process with resultant glossopharyngeal (CN IX), vagus (CN X) and hypoglossal (CN XII) nerve palsies.