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Case Report: Can Steroids Help in a Case of Allodynia Following Spinal Anaesthesia for a Caesarean Section?

Authors:

Reham Mahrous ,

Cairo University, EG
About Reham
Lecturer of Anaesthesia, Surgical ICU
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Doaa Alaa El dien Abd El Fattah,

Cairo University, EG
About Doaa
Lecturer of Obstetrics, Gynaecology Department
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Ahmed Hasanin,

Cairo University, EG
About Ahmed
Assistant professor of Anaesthesia, Surgical ICU
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Mohamed Ahmed Ibrahim,

Cairo University, EG
About Mohamed
Lecturer of Anaesthesia, Surgical ICU
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Amr K. Abdelhakeem

Cairo University, EG
About Amr
Lecturer of Anaesthesia, Surgical ICU
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Abstract

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.
How to Cite: Mahrous, R., Abd El Fattah, D.A.E. dien ., Hasanin, A., Ibrahim, M.A. and Abdelhakeem, A.K., 2021. Case Report: Can Steroids Help in a Case of Allodynia Following Spinal Anaesthesia for a Caesarean Section?. Sri Lankan Journal of Anaesthesiology, 29(2), pp.141–143. DOI: http://doi.org/10.4038/slja.v29i2.8703
Published on 16 Nov 2021.
Peer Reviewed

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