Persistent hiccups (singultus) as the presenting symptom of lateral medullary syndrome.

Indian J Psychol Med

Spandana Nursing Home, Bengaluru, Karnataka, India.

Published: July 2014

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. The patient had significant past history of alcohol and tobacco (smoking) dependence since 30 years apart from being a hypertensive.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4100430PMC
http://dx.doi.org/10.4103/0253-7176.135397DOI Listing

Publication Analysis

Top Keywords

persistent hiccups
8
presenting symptom
8
lateral medullary
8
medullary syndrome
8
hiccups singultus
4
singultus presenting
4
symptom lateral
4
syndrome lateral
4
syndrome lms
4
lms constellation
4

Similar Publications

Persistent hiccups are rare but can serve as an early symptom of underlying conditions, including pulmonary infections and cerebrovascular disorders. This case highlights hiccups as a presenting symptom of bronchopneumonia in a hemodialysis patient and explores the effective use of chlorpromazine and Hange-koboku-to (HKT) as symptomatic therapies. Given the potential association of hiccups with neurological conditions, this case underscores the need for comprehensive diagnostic evaluation.

View Article and Find Full Text PDF
Article Synopsis
  • * Using cerebrospinal fluid multiplex polymerase chain reaction (PCR) testing, doctors quickly identified VZV, leading to immediate antiviral treatment.
  • * This situation emphasizes the need to think about VZV in rare neurological cases and showcases how multiplex PCR can improve diagnosis, especially in cases without common symptoms.
View Article and Find Full Text PDF
Article Synopsis
  • A young patient with neuromyelitis optica spectrum disorder experienced recurrent cardiac asystole and syncope following persistent hiccups, but successfully underwent cardioneuroablation (CNA) treatment, avoiding the need for a permanent pacemaker.
  • Previous cases of symptomatic bradycardia-arrhythmia related to area postrema syndrome (APS) showed a significant number required pacemaker implantation, highlighting the severity of the condition.
  • The findings suggest that CNA can effectively treat bradyarrhythmia associated with APS, and healthcare professionals should consider the potential link between these symptoms and APS in their clinical assessments.*
View Article and Find Full Text PDF

Identifying the Hiccup-Induced Esophagogastric Waveform: A Case Series Report Using High-Resolution Manometry.

ACG Case Rep J

October 2024

Departamento de Fisiología y Motilidad Digestiva, Instituto de Investigaciones Médico-Biológicas, Universidad Veracruzana, Veracruz, México.

Hiccups result from involuntary contractions of the diaphragm, driven by a complex neuromuscular reflex. Three patients with persistent hiccups underwent esophageal high-resolution manometry during hiccup episodes, revealing a consistent finding: sustained contraction of the esophagogastric junction with intermittent pressure peaks. This pattern, termed the "Hiccup-Induced Esophagogastric Waveform," shows significant esophageal pressure changes linked to hiccup reflex.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!