Radioclinic Parameters | Youngest Patient | Elder Patient |
Tuberculosis history | No | Yes |
Immunocompetence | Yes | Yes |
Cardiovascular risk factors | Any | · High blood pressure · Glycaemic Instability |
Fever | Initially | Initially |
Uncontrollable neuropathic pain | Yes | Yes |
Motor deficit | Progressive Paraparesia | Progressive Paraplegia |
Sensitive deficit | L5S1 right Hypoesthesia | L3 Hypoesthesia |
Genito-Sphincters disorders | Erectile Defect & Dysuria | Any |
Radiology | L5S1 Spondylodiscitis + Anterior epiduritis + L5 rightfacet jointarthritis | L4L5 Spondylodiscitis + Antero-posterior epidurals |
Surgery | L4L5S1 Laminectomy + Biopsy | L3L4L5 Laminectomy + Biopsy |
Macroscopic aspect of the lesion | · Flavo-ligament tophus in white-chalky crystallized matrix · Articular tophus L5 granulated-whitish · Anterior epidurals | · Hypertrophied chalky-white compressive ligament tophus · Antero-posterior epiduritis |
Postoperative Polyarthritis | · 2 knees · 2 ankles · Cervical Pain | · 2 knees · 2 ankles · 2 Hallux |
Hyperuricemia Pre- (a) & Postoperative (b) | (a) 58 mg/l = 345.1 µmol/l (b) 111.8 mg/l = 665.8 µmol/l | (a) 71 mg/l = 422.5 µmol/l (b) 107 mg/l = 636.7 µmol/l |
Histology | · Non-specific Inflammatory tissue · Negative PCR-MT | · Non-specific Inflammatory tissue · Negative PCR-MT |
Evolvement | · Sensorimotor recovery · Normal gait at 3 months | · Sensorimotor recovery · Normal gait à 6 months |