Vagus nerve stimulation for chronic intractable hiccups

Case report

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  • 1 Departments of Neurosurgery and Neurology, Louisiana State University Medical School, New Orleans, Louisiana
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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.

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Contributor Notes

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.
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