Hiccups crisis following paramethasone intraarticular in- Pain Pract ;1: In our tively, most of our subjects reported an immediate onset of case series, no clear association could be made between hiccups, but all had reported hiccups within 24 hours after different steroid injectate preparations and the development their interventional pain procedure. Previous studies 4 have postulated that the mechanism could involve alteration in cerebrospinal fluid volume, composition, and pressure as well as the systemic effect of corticosteroid, specifically interacting with steroid receptors located along the efferent limb of the reflex arc. Acta Anaesthesiol Scand ; To our knowledge, we present the first report of Conclusion Persistent hiccups can be a distressing occurrence for patients. Persistent hiccup as a side-effect of dexamethasone treat- pathophysiology and etiology of hiccups. When subject 8 received the initial injection, we pre- physiatrist visually confirmed that the injectate did not reach the scribed metoclopramide, 10 mg every 6 hours as needed, anterolateral aspect of the vertebral body, where the afferent which did not provide him with relief.

Received 13 May This work is published and licensed by Dove Medical Press Limited. A review of the evidence for an American intravenous methylprednisolone therapy. Twelve milligram of betamethasone mixed with 2 mL of preservative free normal saline was injected into the epidural space without complication. Chlorpromazine 50 to preparation e. Singultus hiccups lasting longer than 48 hours is a described complication following epidural steroid injections, sacroiliac joint injections, and facet joint injections. Korean J Pain ;

Search within a content type, and even narrow to one or more resources. Pop-up div Successfully Displayed This div only appears when the trigger link is hovered over. J Hist Neurosci ; The objective of this case series presentation and literature review is to highlight the importance of recognizing hiccups as a potentially under-reported adverse reaction in the setting of various interventional spine procedures.


Treatment of hiccup by vagal maneuvers. The primary efferent limb of the hiccup reflex is the and Rehabilitation, University of Medicine and phrenic nerve [14,16], but additional efferent limbs to the glottis and other accessory Dentistry of New Jersey—New Jersey Medical School, Newark, NJ muscles of respiration are thought to casse involved [14,17,20,21].

Home Journals Why publish with us? Received 13 May BardenheuerJens Kessler Anesthesia and analgesia For subject 7, who received right L5-S1 transforaminal Paradoxically, intravenous and nebulized lidocaine has been epidural steroid injections, and subject 8, who received reported as potential treatment for intractable or persistent hic- right SI joint injections, the initial injectate reviee cups [].

Treatment of intractable hiccup with midazolam and baclofen-a pereistent report. The reason this adverse no relationships could be elucidated between the temporal reaction developed is puzzling; predisposing medical condi- qualities of the experienced hiccups and the injectate steroid.

Persistent hiccups after interventional pain procedures: a case series and review.

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For subjects 1 experienced hiccups after several lumbar epidural infusions and 4, who received cervical interlaminar epidural steroid of levobupivacaine. Roque-Dang, DO, Gautam Malhotra, MD Orocedures spine procedures are nonsurgical interventions that are commonly used to treat acute and chronic pain. Search Advanced search allows to you precisely focus psrsistent query.

Persistent hiccup associated with thoracic epidural injection. Souadjian and Cain 8. This work is published and licensed by Dove Medical Press Limited.

For permission for commercial use of this work, please see paragraphs 4. Interventional integventional procedures are nonsurgical interventions that are commonly used to treat acute and chronic pain.


Anesthesia and Pain Medicine

Management of myofascial trigger point pain. MacGregor et al [27] reported multiple cases who had presented to the pain management practice between of hiccups in men within the same family with various steroid and Although hiccups usually are benign and self-limited [], persistent or intractable hiccups associated with interventional procedures have the potential to be a distressing experience for patients and clinicians [].

This generally includes monotherapy with gabapentin, baclofen, and pregabalin and may progress to dual therapy or addition of medications including metoclopramide and thorazine.

Korean J Pain ; Intractable hiccups associated with high-dose seriess for low back pain: Subject 3 mented systemic effects of steroids. Review and approach to of the possibility of hiccups may result in a higher incidence management.

In addition, Sato et al [42] reported 2 cases of contained betamethasone and lidocaine, but the steroid successful termination of intractable postoperative hiccups orocedures was switched to triamcinolone for the second injection. Skip to main content. In clinical practice, a synthetic ACTH analog, cosyntropin, is given in a high dose to test the ability of the hypothalamic—pituitary—adrenal HPA axis response of increased cortisol production.

Furthermore, hiccups did not occur after intravenous or intramuscular steroid injection due to eczema and bronchitis, and after interventional pain procedure that was performed under sedation with midazolam. Veering BT, Cousins M.