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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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Autores principales: Ma, Jiahui, Jin, Yangqing, Ni, Yuncheng, Hu, Rong, Han, Rui, Huang, Dong, Zhou, Haocheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976316/
https://www.ncbi.nlm.nih.gov/pubmed/36873525
http://dx.doi.org/10.1016/j.heliyon.2023.e13830
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author Ma, Jiahui
Jin, Yangqing
Ni, Yuncheng
Hu, Rong
Han, Rui
Huang, Dong
Zhou, Haocheng
author_facet Ma, Jiahui
Jin, Yangqing
Ni, Yuncheng
Hu, Rong
Han, Rui
Huang, Dong
Zhou, Haocheng
author_sort Ma, Jiahui
collection PubMed
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 pubmed-99763162023-03-02 Ultrasound-guided percutaneous laser cervical discectomy for intractable hiccups: A rare case report Ma, Jiahui Jin, Yangqing Ni, Yuncheng Hu, Rong Han, Rui Huang, Dong Zhou, Haocheng Heliyon 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 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. Elsevier 2023-02-17 /pmc/articles/PMC9976316/ /pubmed/36873525 http://dx.doi.org/10.1016/j.heliyon.2023.e13830 Text en © 2023 The Authors. Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ma, Jiahui
Jin, Yangqing
Ni, Yuncheng
Hu, Rong
Han, Rui
Huang, Dong
Zhou, Haocheng
Ultrasound-guided percutaneous laser cervical discectomy for intractable hiccups: A rare 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 Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976316/
https://www.ncbi.nlm.nih.gov/pubmed/36873525
http://dx.doi.org/10.1016/j.heliyon.2023.e13830
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