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Hiccups. A case presentation and etiologic review.

L M Loft¹, R F Ward

¹Department of Otolaryngology, Head, and Neck Surgery, Manhattan Eye, Ear, and Throat Hospital, New York, NY 10021.

Archives of Otolaryngology--Head & Neck Surgery

|October 1, 1992

Summary

Intractable hiccups can signal serious neurologic disorders, as seen in a 19-year-old man with Arnold-Chiari malformation and syringomyelia. Early diagnosis and treatment are crucial for managing these rare but severe conditions.

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Area of Science:

Neurology
Neurosurgery

Background:

Hiccups (singultus) are typically transient and benign.
Rarely, persistent hiccups may indicate an underlying serious pathology.

Observation:

A 19-year-old male presented with intractable hiccups as the primary symptom.
Physical examination revealed right-sided vocal cord paralysis.

Findings:

Magnetic resonance imaging (MRI) demonstrated a Type I Arnold-Chiari malformation.
A large cervicothoracic syringomyelia was identified.
Ventriculoperitoneal shunt placement provided initial symptom relief.

Implications:

This case highlights the importance of investigating persistent hiccups for underlying neurological conditions.

Related Experiment Videos

Arnold-Chiari malformation and syringomyelia are critical differential diagnoses for intractable hiccups.

Prompt neurosurgical evaluation is essential for patients with concerning neurological signs accompanying hiccups.