Severe non-opioid-induced pruritus following spinal block
This case report describes an occurrence of intractable localized pruritus after spinal anesthesia in the absence of neuraxial opioid. Pruritus was confined to soles of booth feet. Symptoms were attributed to possible subclinical diabetic distal sensory neuropathy. Pruritus was refractory to IV diph...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine
2012-01-01
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| Series: | Scripta Medica |
| Subjects: | |
| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2012/2490-33291202114P.pdf |
| Summary: | This case report describes an occurrence of intractable localized pruritus after spinal anesthesia in the absence of neuraxial opioid. Pruritus was confined to soles of booth feet. Symptoms were attributed to possible subclinical diabetic distal sensory neuropathy. Pruritus was refractory to IV diphenhydramine, IV lidocaine but responded quickly to subhypnotic dose of IV propofol. The close relationship between pathways for pain and pruritus may result in severe and unusual symptoms. Diagnostic workup should include tests for distal sensory neuropathy. Further understanding of neuropathic pruritus is needed. |
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| ISSN: | 2490-3329 2303-7954 |