| Persistent Hiccups after Lumbar Spinal Selective Nerve Root Block |
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Daesuk Seo, Junseok W Hur, Ko Choi, Joo-Chul Yang, Jang-Bo Lee, Jung-Yul Park |
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Department of Neurosurgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea |
Correspondence:
Jung-Yul Park, Tel: +82-2-920-6743, Fax: +82-2-929-0629,
Email: jypark98@korea.ac.kr
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| Abstract |
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Hiccups are generally benign and self-limited; however, sometimes they can be persistent and resistant to treatment. Diverse causes of persistent/intractable hiccups have been identified, including medications, a central nervous system pathology, malignancy, and metabolic abnormalities. Neural blocks are a well-known treatment option for chronic lower back pain and are usually indicated in acute and chronic lower back pain. When used in a careful manner with close monitoring, side effects are uncommon and transient; hence, the neural block procedure is considered a safe therapeutic intervention. We present a case of persistent hiccups after a selective nerve root block in a patient with a herniated lumbar disc. A literature review on underlying mechanisms is provided and specific therapies for management are recommended. |
| Key Words:
Hiccups; Block; Opioid; Steroid; Proton pump inhibitor, Metoclopramide |
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