Intractable hiccups caused by syringobulbia and syringomyelia associated with intramedullary spinal hemangioblastoma
- Authors
- Jeong, Je Hoon; Im, Soo-Bin; Shin, Dong-Seong; Hwang, Sun-Chul; Kim, Bum-Tae
- Issue Date
- May-2015
- Publisher
- Springer Verlag
- Keywords
- Brain stem; Hemangioblastoma; Hiccup; Syringomyelia
- Citation
- European Spine Journal, v.24, pp S614 - S618
- Journal Title
- European Spine Journal
- Volume
- 24
- Start Page
- S614
- End Page
- S618
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/10676
- DOI
- 10.1007/s00586-015-3822-4
- ISSN
- 0940-6719
1432-0932
- Abstract
- Introduction Hiccups caused by a neoplasm in the spinal cord are rare. Materials and methods We report a case of intractable hiccups caused by syringobulbia and syringomyelia associated with cervical intramedullary spinal hemangioblastoma, which was successfully treated by surgical excision. A 60-year-old man was referred from the neurology department after presenting with hiccups for 1 year. The hiccups were aggravated 3 months ago and were sustained during eating or sleeping. Several doctors administered a muscle relaxant and an anticonvulsant, but they were ineffective. Spinal MRI revealed a huge syringomyelia from C2 to T2, associated with a highly enhancing intramedullary mass lesion at the C5 level. The hiccups were ceased after removal of the tumor through a right hemilaminectomy. The pathology of the specimen was hemangioblastoma. The size of the syringobulbia and syringomyelia decreased markedly on MRI checked 5 months after surgery. Conclusions Intractable hiccups can be caused by syringobulbia associated with an intramedullary cord tumor in the cervical area and possible mechanisms of hiccups were reviewed.
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Collections - College of Medicine > Department of Neurosurgery > 1. Journal Articles
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