Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000182.xml
![](/products/assets/desktop/img/oa-logo.png)
J Neurol Surg Rep 2015; 76(01): e120-e122
DOI: 10.1055/s-0035-1549221
DOI: 10.1055/s-0035-1549221
Case Report
Intractable Hiccups Due to Posterior Inferior Cerebellar Artery Aneurysm
Further Information
Publication History
12 August 2014
01 February 2015
Publication Date:
27 April 2015 (online)
![](https://www.thieme-connect.de/media/jnlsr/201501/lookinside/thumbnails/10-1055-s-0035-1549221_140076-1.jpg)
Abstract
This is the third reported case of a posterior inferior cerebellar artery (PICA) aneurysm presenting as intractable hiccups (IH). A previously healthy 29-year-old woman was admitted with a 2-week history of hiccups occurring >100 times per minute. Symptoms persisted despite numerous noninvasive therapies. Magnetic resonance imaging and magnetic resonance angiogram of the brain showed a left PICA aneurysm that was confirmed by catheter angiography. Symptoms resolved following suboccipital craniotomy and resection. Although rare, PICA aneurysm is a potentially curable cause of IH.
-
References
- 1 Fodstad H, Nilsson S. Intractable singultus: a diagnostic and therapeutic challenge. Br J Neurosurg 1993; 7 (3) 255-260
- 2 Federspil PA, Zenk J. Singultus. HNO 1999; 47 (10) 867-875
- 3 Chang F-Y, Lu C-L. Hiccup: mystery, nature and treatment. J Neurogastroenterol Motil 2012; 18 (2) 123-130
- 4 Amirjamshidi A, Abbassioun K, Parsa K. Hiccup and neurosurgeons: a report of 4 rare dorsal medullary compressive pathologies and review of the literature. Surg Neurol 2007; 67 (4) 395-402 ; discussion 402
- 5 Gambhir S, Singh A, Maindiratta B, Jaeger M, Darwish B, Sheridan M. Giant PICA aneurysm presenting as intractable hiccups. J Clin Neurosci 2010; 17 (7) 945-946
- 6 Ferdinand P, Oke A. Intractable hiccups post stroke: case report and review of the literature. J Neurol Neurophysiol 2012; 3 (5) 140
- 7 Peluso JP, van Rooij WJ, Sluzewski M, Beute GN, Majoie CB. Posterior inferior cerebellar artery aneurysms: incidence, clinical presentation, and outcome of endovascular treatment. AJNR Am J Neuroradiol 2008; 29 (1) 86-90
- 8 Lehto H, Harati A, Niemelä M , et al. Distal posterior inferior cerebellar artery aneurysms: clinical features and outcome of 80 patients. World Neurosurg 2014; 82 (5) 702-713
- 9 Moretto EN, Wee B, Wiffen PJ, Murchison AG. Interventions for treating persistent and intractable hiccups in adults. Cochrane Database Syst Rev 2013; 1: CD008768
- 10 Marsot-Dupuch K, Bousson V, Cabane J, Tubiana JM. Intractable hiccups: the role of cerebral MR in cases without systemic cause. AJNR Am J Neuroradiol 1995; 16 (10) 2093-2100