Vagus nerve stimulation for chronic intractable hiccups

Case report

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✓ Intractable hiccups are debilitating and usually a result of some underlying disease. Initial management includes vagal maneuvers and pharmacotherapy. When hiccups persist despite medical therapy, surgical intervention rarely is pursued. Cases described in the literature cite successful phrenic nerve blockade, crush injury, or percutaneous phrenic nerve pacing. The authors report on a case of intractable hiccups occurring after a posterior fossa stroke. Complete resolution of the spasms has been achieved to date following the placement of a vagus nerve stimulator.

Article Information

Address reprint requests to: Bryan R. Payne, M.D., Department of Neurosurgery, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, New Orleans, Louisiana 70112. email: bpayne1@lsuhsc.edu.

© AANS, except where prohibited by US copyright law.

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Figures

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    A T1-weighted MR image demonstrating a large zone of encephalomalacia of the left cerebellar hemisphere.

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    A T2-weighted MR image revealing the area of cerebellar injury.

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