ArticleIntractable hiccups during stroke rehabilitation☆
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Persistent hiccups and Horner's syndrome in a case of primary CNS lymphoma with diffuse cerebral, hypothalamic and lateral brainstem involvement – An exercise in clinical neuroanatomy
2020, Journal of Clinical NeuroscienceCitation Excerpt :The neural pathway has not been clearly elucidated but is generally thought to involve a reflex arc [1,2] which includes (Fig. 4): 1) an afferent limb consisting of phrenic, vagus and sympathetic nerves; 2) an efferent limb consisting of phrenic nerve and connections to the glottis/inspiratory muscles of respiration; and 3) central connections which are postulated to involve the phrenic nerve nuclei, lateral medulla/inferior olivary nucleus, reticular formation of the brainstem, hypothalamus as well as possible modulation of the arc from supratentorial centres such as the temporal lobe [3]. Persistent or intractable hiccups of brainstem aetiology have been reported in medullary mass lesions [4–6], infarct causing Wallenberg syndrome [7,8], pontine lesions such as in multiple sclerosis [9] and pontine infarction [10]. Supratentorial pathology associated with intractable hiccups has been reported in a patient following resection of a large temporal glioblastoma multiforme [2] and a patient with a large fronto-temporal meningioma [11].
Gastrointestinal complications after ischemic stroke
2014, Journal of the Neurological SciencesCitation Excerpt :Phrenic, vagus and sympathetic nerve reflexes modulated by midbrain centers are thought to underlie its anatomical substrate, but the precise mechanisms remain poorly understood. Both pontine and supratentorial ischemic strokes have been associated with persistent or intractable hiccups (defined as hiccups for 48 h and after 2 months, respectively) [39–41]. The incidence of post-stroke hiccups is unknown.
Usage of traditional Chinese medicine in treating intractable hiccups: A case report
2014, Journal of Integrative MedicineClinical reasoning: A 44-year-old man with a 3-month history of hiccups
2011, NeurologyCitation Excerpt :There are also reports of intractable hiccups in patients with pontine lesions. One patient was found to have involvement of the right lateral tegmentum of the lower pons by MS.8 In another report of stroke rehabilitation patients, 3 patients with persistent hiccups had pontine infarcts.9 We present a patient with intractable hiccups resulting from a grade II infiltrating astrocytoma.
In Response to Author: Hiccups before a Pulmonary Embolism Speak against This as a Cause
2023, Indian Journal of Critical Care MedicineNeural Correlates of Hiccups in Patients with Lateral Medullary Infarction
2021, Annals of Neurosciences
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