Kaydu Ayhan, Kılıç Ebru Tarıkçı, Gökçek Erhan, Akdemir Mehmet Salim
Department of Anesthesiology, Diyarbakır Selahaddin Eyyubi Public Hospital, Diyarbakır, Turkey.
Department of Anaesthesiology and Reanimation, Ümraniye, Training and Research Hospital, İstanbul, Turkey.
Anesth Essays Res. 2017 Jul-Sep;11(3):776-777. doi: 10.4103/aer.AER_90_17.
Persistent hiccup is uncommon, and the mechanism is poorly understood. We present the case of a 43-year-old male patient referred to the Algology department due to chronic back pain who developed what we believe a rare case of persistent hiccup secondary to caudal epidural steroid injection (CESI). The causes of hiccup are many and include electrolyte derangement, nutritional deficiencies, gastrointestinal disorders and instrumentation, cardiovascular disorders, renal impairment, central nervous system disorders, and drugs; however, the cause may be unknown. CESI is one of the treatments of back pain, in addition to various other modalities including surgical interventions. CESI has gained rapid and widespread acceptance for the treatment of lumbar and lower extremity pain. However, there are only a few well-designed, randomized, controlled studies on the effectiveness of steroid injections. Consequently, side effects should be considered. We aimed to present a persistent hiccup after CESI for chronic low back pain.
持续性呃逆并不常见，其机制也鲜为人知。我们报告一例43岁男性患者，因慢性背痛转诊至疼痛科，在接受尾端硬膜外类固醇注射（CESI）后出现了我们认为罕见的持续性呃逆病例。呃逆的原因众多，包括电解质紊乱、营养缺乏、胃肠道疾病与器械操作、心血管疾病、肾功能损害、中枢神经系统疾病以及药物等；然而，病因也可能不明。CESI是背痛的治疗方法之一，此外还有包括手术干预在内的各种其他方式。CESI在治疗腰椎和下肢疼痛方面已迅速获得广泛认可。然而，关于类固醇注射有效性的精心设计的随机对照研究仅有少数几项。因此，应考虑其副作用。我们旨在报告一例因慢性下背痛接受CESI后出现的持续性呃逆病例。
