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https://www.readbyqxmd.com/read/27335312/microvascular-decompression-for-intractable-singultus
#1
Atsushi Saito, Toru Hatayama, Hiroyuki Kon, Taigen Nakamura, Tatsuya Sasaki
Intractable singultus due to cerebrovascular disease is very rare. We report a case of intractable singultus that improved after microvascular decompression and present a literature review. The patient was a 58-year-old man with a 30-year history of persistent singultus. Its frequency and duration gradually increased and it was resistant to multiple medical treatments. Microvascular decompression to relieve pressure on the anterolateral surface of the lower medulla oblongata from the vertebral artery resulted in the resolution of singultus...
October 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27228533/ultrasound-guided-phrenic-nerve-block-for-intractable-hiccups-following-placement-of-esophageal-stent-for-esophageal-squamous-cell-carcinoma
#2
David Arsanious, Spiro Khoury, Edgar Martinez, Ali Nawras, Gregory Filatoff, Hossam Ajabnoor, Umar Darr, Joseph Atallah
UNLABELLED: Hiccups are actions consisting of sudden contractions of the diaphragm and intercostals followed by a sudden inspiration and transient closure of the vocal cords. They are generally short lived and benign; however, in extreme and rare cases, such as esophageal carcinoma, they can become persistent or intractable, up to and involving significant pain, dramatically impacting the patient's quality of life. This case involves a 60-year-old man with a known history of squamous cell carcinoma of the esophagus...
May 2016: Pain Physician
https://www.readbyqxmd.com/read/27149594/persistent-singultus-associated-with-lumbar-epidural-steroid-injections-in-a-septuagenarian-a-case-report-and-review
#3
Charles Amoatey Odonkor, Brittany Smith, Kimberly Rivera, Akhil Chhatre
Singultus are rare but notable adverse effect of epidural steroid injections (ESIs). To date, reports of persistent hiccups associated with ESIs have been reported mostly in adults aged 65 years or older. We present the first case of persistent hiccups in a septuagenarian who underwent repeated transforaminal ESIs for chronic lumbar radiculopathy. Under fluoroscopic guidance, 1.5 mL of 1% lidocaine (preservative free) and 0.8 mL of dexamethasone solution (10 mg/mL) was injected into the bilateral L4-L5 neural foramen and epidural space...
May 4, 2016: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/26529591/singultus-foetalis-and-dr-alfons-mermann
#4
Christopher C Miller, Georg A Petroianu
During intrauterine life, hiccups are universally present, their incidence peaking in the third trimester. Alfons Mermann (1852-1908), a gynecologist from Mannheim, Germany, best known for having established the Luisenheim Woechnerinnenasyl [lying-in asylum] there in 1887, is viewed as the first physician to name and describe singultus foetalis [fetal hiccups] in a modern peer-reviewed scientific publication. This short report attempts to shed some light on the work of Dr. Mermann and to explore whether or not he was indeed the first to recognize this phenomenon...
October 2016: Journal of the History of the Neurosciences
https://www.readbyqxmd.com/read/26307025/systemic-review-the-pathogenesis-and-pharmacological-treatment-of-hiccups
#5
REVIEW
M Steger, M Schneemann, M Fox
BACKGROUND: Hiccups are familiar to everyone, but remain poorly understood. Acute hiccups can often be terminated by physical manoeuvres. In contrast, persistent and intractable hiccups that continue for days or months are rare, but can be distressing and difficult to treat. AIM: To review the management of hiccups, including a systematic review of reported efficacy and safety of pharmacological treatments. METHODS: Available articles were identified using three electronic databases in addition to hand searching of published articles...
November 2015: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/26157946/persistent-singultus-addressing-complexity-with-simplicity
#6
Nidhi Patel, Kevin O'Brien
The hiccup reflex arc involving the brainstem, phrenic and vagus nerves, and the sympathetic chain is associated with singultus. There are many possible organic, psychogenic, idiopathic, and iatrogenic instigators. We describe a case of singultus in a 69-year-old man secondary to his CPAP mask, with resolution after he stopped using the mask. Our case establishes that CPAP may be a cause of iatrogenic aerophagia leading to gastric distention, singultus, and emesis and highlights the importance of a complete history...
April 2015: ACG Case Reports Journal
https://www.readbyqxmd.com/read/25763097/intractable-hiccups-singultus-abolished-by-risperidone-but-not-by-haloperidol
#7
Tadashi Nishikawa, Yoichiro Araki, Teruo Hayashi
Hiccups or singulata are rhythmic involuntary movements of the diaphragm, caused by a variety of conditions that interfere with the functions of the nerve nuclei in the medulla and supra-spinal hiccup center. Although neurotransmitters and receptors involved in the pathophysiology of hiccups are not defined well, dopamine has been considered to play an important role. In some cases, chlorpromazine or other antipsychotics are used for the treatment of intractable hiccups but their efficacy is often limited. This report involves an 18-year-old patient who experienced two episodes of intractable hiccups triggered by stress, which lasted for weeks or even months...
2015: Annals of General Psychiatry
https://www.readbyqxmd.com/read/25722363/postoperative-singultus-an-osteopathic-approach
#8
Kristie Petree, Jonathan Bruner
Singultus, or hiccups, is a common medical condition. Despite exponential leaps in medicine, the pathophysiologic cause remains poorly defined. Persistent singultus has been associated with conditions such as pulmonary embolism and myocardial infarction. Singultus is also a well-known postoperative complication. The criterion standard of care for patients with singultus involves ruling out lethal pathologic causes, attempting physical stimulation with Valsava maneuvers or drinking water, and, if no relief has been achieved, administering drugs to ease the symptoms...
March 2015: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/25082974/use-of-osteopathic-manipulative-treatment-to-manage-recurrent-bouts-of-singultus
#9
Benjamin Seidel, Gina Benaquista Desipio
Singultus, or hiccups, are involuntary spasms of the diaphragm that in most cases are harmless and self-limited. Treatments are reserved for those cases that persist, and current options include pharmacotherapeutics, complementary methods (such as acupuncture), and osteopathic manipulative treatment. A 32-year-old woman with stiff person syndrome and concurrent aminoacidopathy in the setting of acute inpatient rehabilitation was experiencing daily bouts of singultus, ranging from 20-minute to 5-hour durations...
August 2014: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/25035568/persistent-hiccups-singultus-as-the-presenting-symptom-of-lateral-medullary-syndrome
#10
V Sampath, Mahesh R Gowda, H R Vinay, S Preethi
Lateral medullary syndrome (LMS) is a constellation of varied neurologic manifestations seen in cerebrovascular accidents. The posterolateral part of the medulla oblongata of the brain stem and cerebellum receiving arterial blood supply from the posterior inferior cerebellar artery are the areas commonly affected. We present a case of a middle aged gentleman referred to our hospital for persistent intractable hiccups as presenting symptom of LMS. He presented to our emergency room with persistent hiccups and left sided cerebellar signs...
July 2014: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/24981083/persistent-singultus-as-presenting-symptom-of-syringobulbia
#11
Balasubramanyam Shankar, Ramakrishna Narayanan, Samir Mustaffa Paruthikunnan, Chaitanya Dattatray Kulkarni
No abstract text is available yet for this article.
2014: BMJ Case Reports
https://www.readbyqxmd.com/read/24677563/treatment-of-singultus-by-sexual-stimulation-who-was-george-t-dexter-md-c1812
#12
Georg A Petroianu
This short report attempts to shed light on the interesting but controversial personality of George T Dexter (ca1812 -?), the physician who first described manipulation of the female genitalia in a hysterical impressionable girl as being associated with the termination of singultus. Although his interaction with the young female patient would not meet today's ethical standards, his medical observation was valid and contributes to our understanding of the pathophysiology of singultus. He was well ahead of his colleagues who presented hiccup therapy case reports with similar or related pathophysiology mechanisms some 150 years later...
May 2016: Journal of Medical Biography
https://www.readbyqxmd.com/read/24224105/transient-hiccups-associated-with-oral-dexamethasone
#13
Mark E Peacock
Hiccups, or singulata (hiccup is singultus), are commonly experienced by most people at one time or another and are usually brief and self-limiting. Although pharmacotherapeutic agents are not generally considered causal in the etiology of hiccups, many clinicians empirically associate episodic hiccups in their patients as being drug induced. The two classes of drugs most often cited as causing hiccups are corticosteroids and benzodiazepines. This report involved a patient who was given preoperative dexamethasone and developed hiccups before anesthesia and surgery commenced...
2013: Case Reports in Dentistry
https://www.readbyqxmd.com/read/23954069/the-adjuvant-use-of-lansoprazole-clonazepam-and-dimenhydrinate-for-treating-intractable-hiccups-in-a-patient-with-gastritis-and-reflux-esophagitis-complicated-with-myocardial-infarction-a-case-report
#14
Georgi Maximov, Deepak Kamnasaran
BACKGROUND: Hiccup (Singultus) is a sudden and involuntary contraction of the diaphragm followed by a sharp closure of the epiglottis which results in the production of a specific "hic" sound. Normally, hiccups are treated without intervention. Intractable hiccups occur rarely but are a disturbing symptom underlying other health related disorders. CASE PRESENTATION: We report the clinical case of a 67-year-old male patient with myocardial infarction accompanied by intractable hiccups during the course of 8 months, and who was non-responsive to chlorpromazine or metoclopramide, and baclofen; drugs routinely used to treat this condition...
2013: BMC Research Notes
https://www.readbyqxmd.com/read/23586546/treatment-of-singultus-by-traction-on-the-tongue-an-eponym-revised
#15
Georg A Petroianu
Sir William Osler (1849-1919) is associated with a long list of contributions and eponymous entities including filaria, maneuvers, nodules, syndromes, and triads. Among the less known ones is the Oslerian pulling of the tongue for termination of obstinate hiccup (singultus). Janet Travell (1901-1977) , physician to two United States presidents, attributed the tongue-pulling maneuver to Osler. Dr. Travell cites Osler's Principles and Practice of Medicine from 1912, where mention of the remedy can be found. The therapy, however, is much older and (perhaps not surprisingly) of French origin...
2013: Journal of the History of the Neurosciences
https://www.readbyqxmd.com/read/23568280/use-of-paced-respiration-to-alleviate-intractable-hiccups-singultus-a-case-report
#16
Duane F Hurst, Catherine L Purdom, Michael J Hogan
Heart rate variability (HRV) biofeedback is an emerging treatment for many health conditions involving dysregulation of the autonomic nervous system including hypertension, gastric pain, anxiety, and depression. Hiccups are frequently considered an annoyance. However, when intractable (lasting over 1 month), they can become debilitating, with some patients resorting to invasive treatments that often involve the phrenic nerve. Theoretically, HRV biofeedback should also provide a means to stimulate the phrenic nerve and could be an alternative option...
June 2013: Applied Psychophysiology and Biofeedback
https://www.readbyqxmd.com/read/23247972/epileptic-diaphragm-myoclonus
#17
Andreas Hahn, Bernd A Neubauer
Persistent singultus is a rare condition, occasionally caused by central nervous system abnormalities. We report a six-year-old girl with daily hiccup events. A polygraphic recording capturing nine singultus episodes showed myoclonia of the diaphragm lasting 104-131 milliseconds, time-locked to bilateral, synchronous, double-spike-and-wave discharges, maximum at frontal contacts. The initial EEG spikes preceded the onset of EMG discharges by 56-64 (median: 59) milliseconds. This is the first description of an epileptic patient with hiccups as the main seizure manifestation...
December 2012: Epileptic Disorders: International Epilepsy Journal with Videotape
https://www.readbyqxmd.com/read/22820843/successful-treatment-of-intractable-hiccups-by-oral-application-of-lidocaine
#18
Thomas Neuhaus, Yon-Dschun Ko, Sebastian Stier
BACKGROUND: Persistent and intractable hiccups are a rather rare, but distressing gastrointestinal symptom found in palliative care patients. Although several recommendations for treatment are given, hiccups often persist. CASE REPORTS: We describe a new pharmacological approach for successfully treating hiccups in four cancer patients. In the first patient, chronic and intractable hiccups lasted for more than 18 months, but disappeared immediately after swallowing a viscous 2 % lidocaine solution for treatment of mucositis...
November 2012: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/22613488/medullary-neurosarcoidosis-presenting-with-intractable-hiccoughs
#19
Seby John, Joseph Parambil, Daniel Culver, Jinny Tavee
Hiccoughs (singultus) are a complex physiological process characterized by sudden brief involuntary contractions of the diaphragm. They most commonly occur from peripheral mechanisms that result in diaphragmatic irritation, but also occur from brain stem lesions such as that seen in Wallenberg's syndrome. They are uncommon in sarcoidosis and it is remarkably rare when hiccoughs are the presenting symptom of neurosarcoidosis. We report a patient with sarcoidosis who presented with intractable hiccoughs due to an inflammatory medullary lesion...
August 2012: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/22234523/legionellosis-presenting-as-singultus-and-external-ophthalmoplegia
#20
Shingo Konno, Haruhi Kono, Hisao Kitazono, Mayumi Murata, Hiroshi Nakazora, Nobuatsu Nomoto, Hideki Sugimoto, Ken Sanno, Toshiki Fujioka
We report a 71-year-old man with legionellosis, who presented with abducens nerve palsy, singultus, confusion, memory impairment, ataxia, and hyporeflexia. Legionella pneumonia was diagnosed on the basis of detection of Legionella pneumophila antigen in the urine. The cerebrospinal fluid was negative for the antigen and antibody, but an oligoclonal band was detected, and the IgG index was elevated. It was speculated that an undetermined immune-mediated mechanism had contributed to the development of the neurological manifestations...
December 2012: Neurological Sciences
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