de la Fuente-Fernández R
Departamento de Neurología. Centro de Investigación Biomédica EuroEspes, La Coruña.
Med Clin (Barc). 1998 Jan 17;110(1):22-4.
Two patients with chronic hiccup and MRI demonstrated lesions at the level of the inferior olivary complex are here reported. Whereas the neurological examination was normal in case 1, case 2 had the syndrome of palatal myoclonus and progressive ataxia. In the case 1, extensive electrophysiological studies were consistent with hiccup, in the absence of any other disorder (in particular, there was no evidence of palatal myoclonus). These findings suggest that the dysfunction of the inferior olivary complex could be implicated in the pathogenesis of hiccup.
本文报告了两名患有慢性呃逆且MRI显示下橄榄核复合体水平存在病变的患者。病例1的神经学检查正常,而病例2患有腭肌阵挛和进行性共济失调综合征。在病例1中,广泛的电生理研究结果与呃逆相符,且不存在任何其他病症(特别是没有腭肌阵挛的证据)。这些发现表明,下橄榄核复合体功能障碍可能与呃逆的发病机制有关。