Pneumomediastinum due to intractable hiccup as the presenting symptom of multiple sclerosis.
Pneumomediastinum and subcutaneous emphysema generally occurs following trauma to the esophagus or lung. It also occurs spontaneously in such situations of elevating intra-thoracic pressure as asthma, excessive coughing or forceful straining. We report here on the rare case of a man who experienced the signs of pneumomediastinum and subcutaneous emphysema after a prolonged bout of intractable hiccup as the initial presenting symptoms of multiple sclerosis.
Na
Sang-Jun
SJ
Department of Neurology, Yongdong Severance Hospital, Yonsei University College of Medicine, 146-92 Dogok-dong, Kangnam-gu, Seoul 135-720, Korea.
Lee
Sang In
SI
Chung
Tae-Sub
TS
Choi
Young-Chul
YC
Lee
Kyung-Yul
KY
D000328:Adult; D001921:Brain / Q000473:pathology; D006606:Hiccup / Q000150:complications* / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008478:Mediastinal Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*; D009103:Multiple Sclerosis / Q000150:complications* / Q000175:diagnosis; D013352:Subcutaneous Emphysema / Q000209:etiology; D013904:Thoracic Vertebrae / Q000473:pathology; D014057:Tomography, X-Ray Computed