The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Cervical Epidural Block Can Relieve Persistent Hiccups -Case report-

경부 경막외 신경차단을 이용한 2주간 계속된 딸꾹질의 치료 경험 -증례보고-

  • Lee, Kyung-Jin (Neuro-Pain Clinic, Seran Hospital) ;
  • Park, Won-Sun (Department of Anesthesiology, College of Medicine, Yonsei University) ;
  • Chun, Tae-Wan (Neuro-Pain Clinic, Chung Goo-Sungsim Hospital) ;
  • Kim, Chan (Neuro-Pain Clinic, Seran Hospital) ;
  • Nam, Yong-Taek (Department of Anesthesiology, College of Medicine, Yonsei University)
  • 이경진 (세란병원 신경통증클리닉) ;
  • 박원선 (연세대학교 의과대학 영동세브란스 마취과) ;
  • 전태완 (청구성심병원 신경통증클리닉) ;
  • 김찬 (세란병원 신경통증클리닉) ;
  • 남용택 (연세대학교 의과대학 영동세브란스 마취과)
  • Published : 1995.04.15
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Abstract

Hiccup is characterized by a myoclonus in the diaphragm, resulting in a sudden inspiration associated with an audible closure of the glottis. The reflex arc in hiccups comprises three pars: an afferent, a central and an efferent part. The afferent portion of the neural pathway of hiccup formation is composed of the vagus nerve, the phrenic nerve, and the sympathetic chain arising from T6 to T12. The hiccup center is localised in the brain stem and the efferent limb comprises phrenic pathways. All stimuli affecting the above mentioned reflex arc may produce hiccups. The pathogenesis of persistent hiccups is not known. Hiccup can present a symptom of a subphrenic abscess or gastric distention, and metabolic alterations may also cause hiccups. Numerous treatment modalities have been tried but with questionable success. We describe a patient whose persistant hiccups was treated successfully by a cervical epidural block.

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