Intractable Hiccup Induced by Multiple Cerebral Infarct: A case report.

, Park, Noh Kyoung; , Song, Im Young; , Kim, Jae Hyun; , Choe, Hyun Seok; , Lee, Jong Hyun; , Shin, Kyoung Sik; , Ahn, Byung Hee

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2002;26(6):806-810.

Park, Noh Kyoung , Song, Im Young , Kim, Jae Hyun , Choe, Hyun Seok , Lee, Jong Hyun , Shin, Kyoung Sik , Ahn, Byung Hee

¹Department of Rehabilitation Medicine, Dae-joen Sun General Hospital, Korea. jun2817@korea.com
²Department of Neurology, Dae-joen Sun General Hospital (at past), Korea.
³Department of Rehabilitation Medicine, Chungnam National University College of Medicine, Korea.

뇌경색 환자에서 난치성 딸꾹질 1예⁣증례 보고⁣

박노경·송임영·김재현·최현석·이종현·신경식¹·안병희²

대전선병원 재활의학과, ¹신경과(전), ²충남대학교 의과대학 재활의학교실

Abstract

Hiccup can be regarded as a failure of the usual alternating excitation-inhibition between glottis closure and inspiration. The coordinating center is located in the brain-stem reticular formation. A wide variety of pathological conditions can cause intractable hiccup: myocardial infarction, brain tumor, renal failure, prostate cancer, abdominal surgery, etc. Stroke is an unusual cause of intractable hiccup. Intractable hiccup is rare but disabling condition which can induce depression, weight loss, sleep deprivation, and even death. Etiological treatment is not always available and intractable hiccup treatment has classically relied on metoclopramide and chlorpromazine. We experienced a case of intractable hiccup induced by multiple cerebral infarct, and we present this rare case with the review of literature. (J Korean Acad Rehab Med 2002; 26: 806-810)

Key Words: Hiccup, Intractable hiccup, Cerebral infarct