Intractable/ Persistent Hiccups Due to Acute Subdural Haemorrhage as a Result of Prolonged Inr in a 55 Year Old Man with Rheumatic Mitral Valvular Heart Disease and Atrial Fibrillation: A Case Report

Biomedical research and clinical reviews Pub Date : 2022-01-12 DOI:10.31579/2692-9406/089

K. Pyar, S. A. Hla, W. Myint, Win Kyaw Shwe, S. Hlaing, Zaw Min Tun, Han Lin Aung, Phyo Htet Oo, Kyaw Zayar Lin, Moe Tun Zaw, Kyaw Zay Ya, Myo Thant Kyaw, Nay Myo Aung, Than Naing Lin, Soe Moe Htun, Zay Phyo Aung

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引用次数: 0

Abstract

A 58 year old man was brought to hospital in state of deep coma following severe headache for one day. His GCS was 3/15 and had flaccid all 4 limbs with equivocal planter response on both sides on arrival. NECT head showed acute subdural haemorrhage with surrounding cerebral oedema, mid-line shift and corning of brain stem. After giving mannitol and dexamethasone, four hours later, he became fully conscious and orientated; his motor power returned to normal. He was on warfarin 3mg daily for rheumatic mitral valvular heart disease with atrial fibrillation and his INR on arrival was 3.5. He had intractable hiccups once he regained consciousness. Both pharmacological and non-pharmacological measures were tried for distressing hiccups; there was no therapeutic success. His hiccups disappeared completely only after removing the haematoma by burr hole surgery.

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一例55岁男性风湿性二尖瓣瓣膜病和心房颤动患者因长期Inr引起急性硬膜下出血引起顽固性/持续性打嗝的病例报告

一名58岁男子在严重头痛一天后被送往医院，处于深度昏迷状态。他的GCS为3/15，到达时四肢松弛，两侧种植反应模糊。脑电图显示急性硬膜下出血伴周围脑水肿、中线移位及脑干角化。在给予甘露醇和地塞米松后，4小时后，他完全清醒并定向;他的马达动力恢复了正常。他每天服用华法林3mg治疗风湿性二尖瓣心脏病并心房颤动，到达时的INR为3.5。他一恢复知觉就开始打嗝。采用药物和非药物治疗打嗝;没有治疗成功。他的打嗝完全消失后，通过钻孔手术去除血肿。

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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Biomedical research and clinical reviews

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