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British Journal of Radiology (2006) 79, 537-539
© 2006 British Institute of Radiology
doi: 10.1259/bjr/28763793
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Neck pain: an unusual presentation of a common disease

A C Pankhania, MBChB, MRCS, T Patankar, MBChB, DMRD, DMRE, DNBE, FRCR and D Du Plessis, MRCPath

Department of Neuroradiology and Neuropathology, Hope Hospital, Salford, Manchester M6 8HD, UK


Figure 1
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  		Figure 1. MRI showing a destructive lesion involving the right facet joint of C4/5 associated with a medially placed extradural mass compressing the spinal cord and of intermediate signal on (a) T1 weighted images, (b) heterogeneous intermediate signal on T2 weighted images which showed (c) peripheral contrast enhancement post-gadolinium (arrow demonstrates well-defined facet joint erosion).

 

Figure 2
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  		Figure 2. CT scan shows well defined erosive change involving the right C4/C5 facet joint.

 

Figure 3
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  		Figure 3. Low power image showing tophaceous deposits[black arrows] against a background of fibrosis and focal chronic inflammation (haematoxylin and eosin stain, original magnification x50). Inset: Birefringent needle shaped urate crystals [white arrow] demonstrated by polarised light (original magnification x630).

 




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