Intractable hiccups as a presenting symptom of Chiari I malformation.
BACKGROUND
Hiccups as the only presenting symptom in neurosurgical practice is uncommon.


METHODS
We report a case of a 22-year-old man who was evaluated for a 9-month history of intractable hiccups. He was diagnosed with a case of Chiari malformation type I.


CONCLUSIONS
Surgical decompression improved the symptoms of the patient. The cause and pathogenesis of hiccups are discussed.


CONCLUSIONS
Chiari malformation should be considered in patients with intractable hiccups, who are otherwise asymptomatic for any neurological problems.
Vanamoorthy
Ponniah
P
Department of Neuroanaesthesiology, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India.
Kar
Prachi
P
Prabhakar
Hemanshu
H
D001139:Arnold-Chiari Malformation / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D001933:Brain Stem / Q000473:pathology / Q000503:physiopathology; D003388:Cranial Fossa, Posterior / Q000473:pathology / Q000503:physiopathology; D019299:Decompression, Surgical; D003964:Diaphragm / Q000294:innervation / Q000503:physiopathology*; D006606:Hiccup / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures; D012008:Recurrence; D012125:Respiratory Center / Q000473:pathology / Q000503:physiopathology; D013116:Spinal Cord / Q000473:pathology / Q000503:physiopathology; D013595:Syringomyelia / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D017211:Treatment Failure; D016896:Treatment Outcome; D055815:Young Adult