Gouty Tophi in Spine Causing Complete Lower Limb Paralysis: A Rare Presentation of Gout

Introduction: Gout is a common inflammatory arthritis affecting people worldwide, causing recurrent acute painful arthritis. A tophi, which is a painless swelling is one of the commonest consequences in long standing gouty arthritis patient. Typically, it is found on the hand, feet and pinna of the ears. Case Report: We report a rare presentation of gout in a previously healthy young man, who came with complete lower limb paralysis due to spinal cord compression by gouty tophi. He underwent surgical decompression procedure with good initial motor and sensory recovery, but deteriorate after developed other complications.