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Persistent hiccups

M S Wagner, J S Stapczynski

    Annals of Emergency Medicine
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Persistent hiccups can be triggered by a hair irritating the tympanic membrane, activating the vagally mediated hiccup neural reflex arc. This case highlights an unusual cause and reviews common hiccup etiologies and treatments.

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    Area of Science:

    • Neurology
    • Otolaryngology

    Background:

    • Hiccups (singultus) are involuntary contractions of the diaphragm and intercostal muscles.
    • Persistent hiccups can significantly impact quality of life and may indicate underlying pathology.

    Observation:

    • A patient presented with intractable hiccups.
    • The cause was identified as a single hair irritating the tympanic membrane.

    Findings:

    • The hair stimulated the tympanic membrane, triggering the vagally mediated hiccup neural reflex arc.
    • This represents a rare peripheral cause of persistent hiccups.

    Implications:

    • This case underscores the importance of a thorough otoscopic examination in cases of unexplained persistent hiccups.
    • Understanding vagal nerve pathways is crucial for diagnosing and managing hiccup etiologies.
    • Highlights a novel peripheral trigger for the hiccup reflex arc.