AI Article Synopsis

  • Itch is a common issue often linked to skin problems, but central neurogenic pruritus is a less recognized condition, particularly in patients with neurological issues like strokes or spinal cord masses.
  • A report discusses a nine-year-old boy who experienced one-sided itching after brain surgery for a ruptured blood vessel, highlighting this rare complication.
  • The patient's itching improved significantly after treatment with gabapentin, emphasizing the importance of recognizing central neurogenic pruritus in similar cases.

Article Abstract

Itch is a frequent complaint reported by the patients and is usually ascribed to dermatological causes. Central neurogenic pruritus remains an under-recognized complication with an unclear etiology previously described in the patients with stroke or with an intramedullary mass of the spinal cord. We describe a case of a nine-year-old male who developed unilateral pruritus seven days after he underwent right hemicraniectomy due to ruptured arteriovenous malformation. The patient manifested a significant improvement in pruritus after starting gabapentin. This report highlights the need for having a high index of suspicion for central neurogenic pruritus in such patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370666PMC
http://dx.doi.org/10.7759/cureus.8661DOI Listing

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