title: A healthy man with intractable hiccups.
abstract: We present a patient with intractable hiccups. Medical treatment decreased the frequency of the hiccups to only 5-10 per minute. After exclusion of gastrointestinal reasons for the hiccups, cranial MRI revealed a small lesion in the right rhomboid fossa, close to the vagal trigone. Microsurgical resection of the lesion was performed via a suboccipital median craniotomy. The histopathological diagnosis was a cavernoma. Promptly after surgery the patient was free of symptoms. Intractable hiccups can be associated with intracranial pathologies, including lesions in the brain stem, which we highlight with the presentation of this patient.
authors.affiliation: Department of Neurosurgery, University Hospital Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68135 Mannheim, Germany. ioannis.pechlivanis@umm.de
authors.forename: Ioannis
authors.initials: I
authors.lastname: Pechlivanis
authors.forename: Marcel
authors.initials: M
authors.lastname: Seiz
authors.forename: Martin
authors.initials: M
authors.lastname: Barth
authors.forename: Kirsten
authors.initials: K
authors.lastname: Schmieder
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000150:complications* / Q000473:pathology*; D006606:Hiccup / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D011149:Pons / Q000293:injuries / Q000473:pathology*