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Asian J Pain > Volume 3(2); 2017 > Article
Asian Journal of Pain 2017;3(2):39-41.
DOI: https://doi.org/10.35353/ajp.3.2.39    Published online October 30, 2017.
Persistent Hiccups after Lumbar Spinal Selective Nerve Root Block
Daesuk Seo, Junseok W Hur, Ko Choi, Joo-Chul Yang, Jang-Bo Lee, Jung-Yul Park
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
Abstract
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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