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KMID : 0363119950080010131
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Korean Journal of Pain
1995 Volume.8 No. 1 p.131 ~ p.134
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Cervical Epidural Block Can Relieve Persistent Hiccups -Case report-
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이경진
박원선/전태완/김찬/남용택
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Abstract
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Hiccup is characterized by a myoclonus in the diaphragm, resulting in a sudden inspiration associated with an audible closure of the glottis. The reflex arc in hiccups comprises three pars: an afferent, a central and an efferent part. The
afferent
portion of the neural pathway of hiccup formation is composed of the vagus nerve, the phrenic nerve, and the sympathetic chain arising from T6 to T12. The hiccup center is localised in the brain stem and the efferent limb comprises phrenic
pathways. All
stimuli affecting the above mentioned reflex arc may produce hiccurps. The pathogenesis of persistent hiccups is not known. Hiccup can present a symptom of a subphrenic abscess or gastric distention, and metabolic alterations may also cause
hiccups.
Numerous treatment modalities have been tried but with questionable success. We discribe a patient whose persistant hiccups was treated successfully by a cervical epidural block.
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