Ultrasound-guided percutaneous laser cervical discectomy for intractable hiccups: A rare case report

Background: Intractable hiccups serve no physiological purpose, but significantly reduce the quality of life. There are a variety of medications suggested for the treatment of persistent or intractable hiccups. However, it remains a great challenge for the management of intractable hiccups. In this...

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Main Authors: Jiahui Ma, Yangqing Jin, Yuncheng Ni, Rong Hu, Rui Han, Dong Huang, Haocheng Zhou
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240584402301037X
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author Jiahui Ma
Yangqing Jin
Yuncheng Ni
Rong Hu
Rui Han
Dong Huang
Haocheng Zhou
author_facet Jiahui Ma
Yangqing Jin
Yuncheng Ni
Rong Hu
Rui Han
Dong Huang
Haocheng Zhou
author_sort Jiahui Ma
collection DOAJ
description Background: Intractable hiccups serve no physiological purpose, but significantly reduce the quality of life. There are a variety of medications suggested for the treatment of persistent or intractable hiccups. However, it remains a great challenge for the management of intractable hiccups. In this case report, we describe the technique of percutaneous laser cervical discectomy under the sonographic guidance in treatment of intractable hiccups. Case description: A 41-year-old male, who suffered intractable hiccups over 11 years, came to our pain department in December 2020. Neither oral medication nor phrenic nerve block achieved satisfactory relief of hiccups. Magnetic resonance imaging and computed tomography scan revealed cervical disc herniation of C4/5 and C5/6. Following selective cervical nerve root block, complete but short-term control of symptoms lasted less than 48 hours. Percutaneous laser cervical discectomy was then performed under ultrasound guidance and achieved complete and enduring symptomatic relief up to 14-month follow-up. Conclusion: Cervical degenerative changes may be considered as potential cause for intractable hiccups, and ultrasound-guided percutaneous laser cervical discectomy may be used to treat hiccups caused by cervical discogenic etiology.
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spelling doaj.art-864db76bdb1c4d92bf48c45e111282422023-04-05T08:17:14ZengElsevierHeliyon2405-84402023-03-0193e13830Ultrasound-guided percutaneous laser cervical discectomy for intractable hiccups: A rare case reportJiahui Ma0Yangqing Jin1Yuncheng Ni2Rong Hu3Rui Han4Dong Huang5Haocheng Zhou6Department of Pain, The Third Xiangya Hospital and Institute of Pain Medicine, Central South University, Changsha, ChinaDepartment of Pain, The Third Xiangya Hospital and Institute of Pain Medicine, Central South University, Changsha, ChinaDepartment of Pain, The Third Xiangya Hospital and Institute of Pain Medicine, Central South University, Changsha, ChinaDepartment of Pain, The Third Xiangya Hospital and Institute of Pain Medicine, Central South University, Changsha, ChinaDepartment of Pain, The Third Xiangya Hospital and Institute of Pain Medicine, Central South University, Changsha, ChinaDepartment of Pain, The Third Xiangya Hospital and Institute of Pain Medicine, Central South University, Changsha, China; Hunan Key Laboratory of Brain Homeostasis, Central South University, Changsha, ChinaDepartment of Pain, The Third Xiangya Hospital and Institute of Pain Medicine, Central South University, Changsha, China; Hunan Key Laboratory of Brain Homeostasis, Central South University, Changsha, China; Corresponding authorDepartment of Pain, The Third Xiangya Hospital and Institute of Pain Medicine, Central South University, Changsha, Hunan Province, ChinaBackground: Intractable hiccups serve no physiological purpose, but significantly reduce the quality of life. There are a variety of medications suggested for the treatment of persistent or intractable hiccups. However, it remains a great challenge for the management of intractable hiccups. In this case report, we describe the technique of percutaneous laser cervical discectomy under the sonographic guidance in treatment of intractable hiccups. Case description: A 41-year-old male, who suffered intractable hiccups over 11 years, came to our pain department in December 2020. Neither oral medication nor phrenic nerve block achieved satisfactory relief of hiccups. Magnetic resonance imaging and computed tomography scan revealed cervical disc herniation of C4/5 and C5/6. Following selective cervical nerve root block, complete but short-term control of symptoms lasted less than 48 hours. Percutaneous laser cervical discectomy was then performed under ultrasound guidance and achieved complete and enduring symptomatic relief up to 14-month follow-up. Conclusion: Cervical degenerative changes may be considered as potential cause for intractable hiccups, and ultrasound-guided percutaneous laser cervical discectomy may be used to treat hiccups caused by cervical discogenic etiology.http://www.sciencedirect.com/science/article/pii/S240584402301037XUltrasound-guidedPercutaneousCervical discectomyIntractableHiccupsCase report
spellingShingle Jiahui Ma
Yangqing Jin
Yuncheng Ni
Rong Hu
Rui Han
Dong Huang
Haocheng Zhou
Ultrasound-guided percutaneous laser cervical discectomy for intractable hiccups: A rare case report
Heliyon
Ultrasound-guided
Percutaneous
Cervical discectomy
Intractable
Hiccups
Case report
title Ultrasound-guided percutaneous laser cervical discectomy for intractable hiccups: A rare case report
title_full Ultrasound-guided percutaneous laser cervical discectomy for intractable hiccups: A rare case report
title_fullStr Ultrasound-guided percutaneous laser cervical discectomy for intractable hiccups: A rare case report
title_full_unstemmed Ultrasound-guided percutaneous laser cervical discectomy for intractable hiccups: A rare case report
title_short Ultrasound-guided percutaneous laser cervical discectomy for intractable hiccups: A rare case report
title_sort ultrasound guided percutaneous laser cervical discectomy for intractable hiccups a rare case report
topic Ultrasound-guided
Percutaneous
Cervical discectomy
Intractable
Hiccups
Case report
url http://www.sciencedirect.com/science/article/pii/S240584402301037X
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