Porcaro Gianluca, Tremolizzo Lucio, Appollonio Ildebrando, Maddalone Marcello
Dental Unit, 'San Gerardo' Hospital and School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Neurology Unit, 'San Gerardo' Hospital and School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Oxf Med Case Reports. 2018 Jun 25;2018(6):omy027. doi: 10.1093/omcr/omy027. eCollection 2018 Jun.
Persistent hiccup can conceal life-threatening clinical conditions of highly heterogeneous nature. Here, we report a case of a persistent hiccup that has been temporally associated with dental implant insertion in a patient with paroxysmal atrial fibrillation. This 67-year-old patient underwent dental implant in area 36 and the procedure was performed without acute complications. A prolonged hiccup started ~48 h after the procedure: it failed to respond to several medications and it lasted for ~18 days, after which it spontaneously disappeared. Brain imaging and neurological examination were conducted in order to rule out organic conditions, even though all the investigations resulted to be negative. We suggest that the surgical procedure might have triggered a prolonged reflex activation. Knowledge about this complication of oral surgery procedure might be useful for avoiding unnecessary hospitalization or diagnostic tests.
持续性呃逆可能掩盖性质高度异质的危及生命的临床病症。在此，我们报告一例持续性呃逆病例，该病例在一名阵发性心房颤动患者中与牙种植体植入在时间上相关。这名67岁的患者在36区接受了牙种植，手术过程中未出现急性并发症。术后约48小时开始出现持续性呃逆：对多种药物均无反应，持续了约18天，之后自行消失。为排除器质性疾病进行了脑部影像学检查和神经学检查，尽管所有检查结果均为阴性。我们认为手术操作可能触发了长时间的反射激活。了解口腔外科手术的这种并发症可能有助于避免不必要的住院或诊断检查。
