| Persistent hiccups (singultus) as the presenting symptom of medullary cavernoma. | |
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MedLine Citation:
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PMID: 22211149 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Singultus (hiccup) is common, usually transient, and only rarely indicative of disease. If it persists, it can be highly bothersome, potentially interfering with sleep and leading to depression and physical exhaustion. It is presumed to be due to a disturbance in a reflex arc that includes the brainstem, the phrenic nerve, the vagus nerve, and the sympathetic chain. It can be induced by mechanical irritation (e.g., gastric distention), metabolic or toxic irritation (e.g., alcohol, cigarette smoke), infectious processes, emotional disturbances, and, rarely, neurological diseases. CASE DESCRIPTION: The patient presented with persistent singultus (by definition, singultus lasting more than 48 hours). Initial diagnostic tests failed to reveal the cause, and the hiccups failed to respond to medications and other attempted treatments. Finally, an imaging study revealed a medullary cavernoma. After neurosurgical resection of this lesion, the patient was asymptomatic and returned to work. CONCLUSION: This case shows that singultus, though it may seem trivial, deserves to be taken seriously, particularly when it persists and does not respond to medications. Its cause can be discovered in timely fashion by means of a thorough clinical history, physical examination, and ancillary testing. |
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Authors:
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Alexander Eisenächer; Jens Spiske |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2011-12-02 |
Journal Detail:
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Title: Deutsches Ärzteblatt international Volume: 108 ISSN: 1866-0452 ISO Abbreviation: Dtsch Arztebl Int Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2012-01-02 Completed Date: 2012-04-17 Revised Date: 2013-05-22 |
Medline Journal Info:
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Nlm Unique ID: 101475967 Medline TA: Dtsch Arztebl Int Country: Germany |
Other Details:
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Languages: eng Pagination: 822-6 Citation Subset: IM |
Affiliation:
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Sanitätszentrum Weißenfels. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Brain Neoplasms / complications*, diagnosis, surgery* Hemangioma, Cavernous, Central Nervous System / complications*, diagnosis, surgery* Hiccup / diagnosis, etiology*, prevention & control* Humans Male Medulla Oblongata / pathology, surgery* Treatment Outcome |
| Comments/Corrections | |
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