Chang Y Y, Chen W H, Liu J S, Shih P Y, Chen S S
Department of Neurology, Kaohsiung Medical College, Taiwan R.O.C.
J Formos Med Assoc. 1993 Oct;92(10):926-8.
Intractable hiccup is a rare manifestation of a brainstem lesion. We present five cases of intractable hiccups associated with medulla oblongata lesions: three of these had brainstem infarction compatible with Wallenberg's lateral medullary syndrome; one, clinically probable multiple sclerosis with a medullary lesion; and one, choroid plexus papilloma of the fourth ventricle with medullary compression. Using magnetic resonance imaging, it was demonstrated that the lesions affecting the dorsal and/or lateral medulla oblongata were responsible for the intractable hiccups.
顽固性呃逆是脑干病变的一种罕见表现。我们报告5例与延髓病变相关的顽固性呃逆病例：其中3例为符合延髓外侧综合征（Wallenberg综合征）的脑干梗死；1例临床上可能为多发性硬化伴延髓病变；1例为第四脑室脉络丛乳头状瘤伴延髓受压。通过磁共振成像证实，影响延髓背侧和/或外侧的病变是导致顽固性呃逆的原因。
