Phrenic Nerve Clipping in a Stroke Patient with Intractable Hiccup: a Case Report
Brain & Neurorehabilitation
; : e2-2018.
Article
en En
| WPRIM
| ID: wpr-713143
Biblioteca responsable:
WPRO
ABSTRACT
Hiccup is an intermittent, involuntary and erratic contraction of the diaphragm, immediately followed by a laryngeal closure. Persistent and intractable hiccups are rare but severe, keeping a person from doing daily activities; these can result in depression, fatigue, impaired sleep, dehydration, weight loss, malnutrition, and aspiration. Therefore, proper treatments are necessary. We present a case with intractable hiccup treated with an unusual treatment. A 61-year-old man presented with intractable hiccups, which started 6 years ago after subarachnoid and intraventricular hemorrhage. Conventional pharmacologic treatments including metoclopramide, gabapentin, and baclofen were unsuccessful. Cooperating with cardiothoracic surgeons, phrenic nerve clipping operation was done under intraoperative electrophysiologic monitoring. This method was successful that the symptoms were relieved. Reversible clipping done under intraoperative electrophysiologic monitoring can be a promising therapeutic method for persistent and intractable hiccups in patients with stroke.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Nervio Frénico
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Baclofeno
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Diafragma
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Pérdida de Peso
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Accidente Cerebrovascular
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Deshidratación
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Desnutrición
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Depresión
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Electromiografía
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Fatiga
Límite:
Humans
Idioma:
En
Revista:
Brain & Neurorehabilitation
Año:
2018
Tipo del documento:
Article