Case Report: Can Steroids Help in a Case of Allodynia Following Spinal Anaesthesia for a Caesarean Section?
By: Reham Mahrous, Doaa Alaa El dien Abd El Fattah, Ahmed Hasanin, Mohamed Ahmed Ibrahim and Amr K. Abdelhakeem
Open Access
|Nov 2021Abstract
Most of the anaesthesia related neurological complications are associated with paresthesia upon introduction of the spinal needle. Steroids may shorten the duration of the effects caused by nerve injury. A 27-year-old female patient undergoing caesarean section experienced paresthesia during the intrathecal introduction of the spinal needle. After the spinal anaesthesia wore off, she developed tactile allodynia. Intravenous hydrocortisone was given; marked improvement of pain and allodynia was observed. Contact of the needle with a nerve root may have caused an inflammatory response. The benefit of steroids in cases of nerve injury is still debatable. They likely decrease the levels of autoantibodies that delay nerve regeneration.
DOI: https://doi.org/10.4038/slja.v29i2.8703 | Journal eISSN: 2279-1965
Language: English
Page range: 141 - 143
Published on: Nov 16, 2021
Published by: College of Anaesthesiologists of Sri Lanka
In partnership with: Paradigm Publishing Services
Keywords:
© 2021 Reham Mahrous, Doaa Alaa El dien Abd El Fattah, Ahmed Hasanin, Mohamed Ahmed Ibrahim, Amr K. Abdelhakeem, published by College of Anaesthesiologists of Sri Lanka
This work is licensed under the Creative Commons License.