Abstract

Severe migraine-like headache as unique symptom of steroid withdrawal syndrome betamethasone-induced in lumbar disc herniation

Highlights

  • Steroid withdrawal syndrome (SWS) is a condition that can occur when a patient stops abruptly corticoid medications.Symptoms are the following: joint pain, a sensation of discomfort, inflammation, soreness, achiness, or stiffness in a joint or joints of the body, anorexia known as a lack of or loss of appetite for food, vomiting, cravings, desires for unusual foods. irritability, an emotional behavior that is result of feelings of frustration and/or annoyance

  • It is a temporary form of secondary adrenal insufficiency that may occur when a person who hired a glucocorticoid hormone for a long time abruptly stops or interrupts the medication

  • In this study we describe the unusual case of a person suffering from lumbar pain, by herniated disc, treated with betamethasone

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Summary

Introduction

Steroid withdrawal syndrome (SWS) is a condition that can occur when a patient stops abruptly corticoid medications.Symptoms are the following: joint pain, a sensation of discomfort, inflammation, soreness, achiness, or stiffness in a joint or joints of the body, anorexia known as a lack of or loss of appetite for food, vomiting, cravings, desires for unusual foods. irritability, an emotional behavior that is result of feelings of frustration and/or annoyance. Steroid withdrawal syndrome (SWS) is a condition that can occur when a patient stops abruptly corticoid medications. Adrenal insufficiency is responsible for SWS [1] It is a temporary form of secondary adrenal insufficiency that may occur when a person who hired a glucocorticoid hormone for a long time abruptly stops or interrupts the medication. We describe the unusual case of a person suffering from lumbar pain, by herniated disc, treated with betamethasone. The abrupt suspension of the drug caused so called steroid withdrawal syndrome that may occur when receiving a glucocorticoid hormone for a long time it is abruptly stopped. We administered it to a patient suffering from intense lumbar pain.The drug was suspended abruptly a few days after the onset of therapy. What are the causal hypotheses of this event? An increase in endocranial pressure, of pseudotumor cerebri type? A case of delayed hypersensitivity, since the subject had already taken on betamethasone, without reporting any side effects? We think that the disorder is due to a condition of late hypersensitivity to the steroids, from unknown cause

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