Puppala Sumirini, Acharya Abhijit, Dash Atmaranjan, Choudhury Surjyaprakash S
Departments of1Neurology and.
2Neurosurgery, IMS & SUM Hospital, Bhubaneswar, Odisha, India.
J Neurosurg Case Lessons. 2023 Mar 6;5(10). doi: 10.3171/CASE22336.
Hiccups are characterized by involuntary, intermittent, repetitive, myoclonic, and spasmodic contractions of the diaphragm. Hiccups are termed "intractable" when they last for over 1 month.
A rare case of intractable hiccups due to an uncommon location of cavernous hemangioma in the dorsal medulla is illustrated. With respect to the management, surgical excision was performed, and postsurgical complete recovery was witnessed, which has been reported only in six cases worldwide to date.
A mechanism of the hiccups reflex arc is discussed in detail with special reference to the need for equal emphasis on evaluating central nervous system causes and peripheral etiologies for pertinent hiccups.
打嗝的特点是膈肌不自主、间歇性、重复性、肌阵挛性和痉挛性收缩。当打嗝持续超过1个月时，被称为“顽固性”打嗝。
本文展示了一例因延髓背侧海绵状血管瘤位置罕见而导致的顽固性打嗝病例。在治疗方面，进行了手术切除，术后实现了完全康复，迄今为止，全球仅报道过6例此类病例。
详细讨论了打嗝反射弧的机制，特别强调在评估相关打嗝的中枢神经系统病因和外周病因时需要同等重视。
