Intractable Hiccups Treated With Stellate Ganglion Block: Case Report.

Pain medicine case reports Pub Date : 2024-11-01

Danielle Levin, Jonathan Alabre, Ryan Gualtier

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Abstract

Background: A hiccup is a common well-documented physiologic process that occurs due to a sudden involuntary contraction of the diaphragm and intercostal muscles, with subsequent rapid closure of the glottis. While acute hiccups, lasting < 48 hours, are experienced by almost all individuals at some point in their life, prolonged hiccups lasting > 48 hours, or intractable hiccups lasting > 1 month, are quite rare and may significantly impact a person's quality of life. We would like to share a report of a stellate ganglion (SG) block relieving the discomfort of a patient suffering from idiopathic intractable hiccups.

Case report: A 73-year-old man suffered from > 3 years of idiopathic intractable hiccups that were resistant to oral medications and phrenic nerve blocks. An ultrasound-guided SG block with a combination of ropivacaine and lidocaine was administered to the patient. After this block, for the first time in over 3 years, the patient was 100% hiccup-free for one week.

Conclusions: This case report demonstrates that the ultrasound-guided SG block could be a temporary treatment option for those affected by idiopathic intractable hiccups.

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星状神经节阻滞治疗顽固性呃逆1例。

背景：打嗝是一种常见的有充分证据的生理过程，它是由于膈肌和肋间肌突然不自主收缩而发生的，随后声门迅速关闭。尽管几乎所有人在一生中的某个时候都会经历持续48小时的急性打嗝，但持续48小时的长时间打嗝或持续1个月的难治性打嗝是相当罕见的，可能会严重影响一个人的生活质量。我们想分享一个关于星状神经节（SG）阻滞缓解特发性顽固性呃逆患者不适的报告。病例报告：一名73岁的男性患有bb30年的特发性顽固性呃逆，对口服药物和膈神经阻滞有耐药性。超声引导SG阻滞联合罗哌卡因和利多卡因给予患者。在此阻断后，这是3年多来患者第一次在一周内100%不打嗝。结论：本病例报告表明，超声引导下的SG阻滞可能是特发性顽固性呃逆患者的临时治疗选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Pain medicine case reports

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