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Related Experiment Videos

[Diabolic hiccup]

A Heick1

  • 1Neurolngisk afdeling, Amtssygehuset Roskilde.

Ugeskrift for Laeger
|August 11, 1997
PubMed
Summary

Diabolic hiccup, a rare prolonged involuntary inspiratory spasm, can stem from brainstem lesions affecting the hiccup reflex. This case highlights potential therapeutic options for intractable hiccups.

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Area of Science:

  • Neurology
  • Gastroenterology

Background:

  • Hiccups are brief, involuntary inspiratory spasms.
  • Transitory hiccups often result from epigastric irritation.
  • Prolonged hiccups, termed diabolic hiccups, are rare.

Observation:

  • A case of diabolic hiccup was documented.
  • The cause was a unilateral lesion in the nucleus tractus solitarius of the brainstem.
  • This lesion likely disinhibited the hiccup reflex.

Findings:

  • Brainstem lesions can cause persistent hiccups.
  • Unilateral nucleus tractus solitarius lesions may trigger diabolic hiccups.
  • Disinhibition of the hiccup reflex is a probable mechanism.

Implications:

  • This case expands understanding of the neural control of hiccups.
  • It suggests specific brainstem pathways involved in hiccup generation.
  • Potential treatments for diabolic hiccup include chlorpromazine, baclofen, valproate, and nifedipine.