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Intractable hiccups during stroke rehabilitation
1Division of Rehabilitation, Washington University School of Medicine, St Louis, MO, USA.
Archives of Physical Medicine and Rehabilitation
|June 18, 1998
Summary
Intractable hiccups in stroke rehabilitation patients are rare but serious, often requiring tailored pharmacologic management. Effective treatment is crucial to prevent severe complications and ensure successful rehabilitation outcomes.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Clinical Pharmacology
Background:
- Intractable hiccups pose a significant challenge in stroke rehabilitation.
- Understanding their frequency and impact is crucial for patient management.
Observation:
- A case series identified three patients with intractable hiccups during stroke rehabilitation.
- These patients experienced severe complications, including aspiration pneumonia and respiratory arrest.
Findings:
- Pharmacologic interventions for hiccups in stroke survivors require careful consideration.
- Chlorpromazine caused excessive sedation, while carbamazepine was only partially effective.
- Haloperidol and baclofen were ultimately successful in managing hiccups in two patients.
Implications:
- Management of intractable hiccups in stroke rehabilitation necessitates a multidisciplinary approach.
- Tailored pharmacologic strategies are essential to optimize feeding and prevent life-threatening complications.
- Inpatient rehabilitation settings are vital for managing this challenging patient population.