UNASSIGNED: A 41-year-old male, who suffered intractable hiccups over 11 years, came to our pain department in December 2020. Neither oral medication nor phrenic nerve block achieved satisfactory relief of hiccups. Magnetic resonance imaging and computed tomography scan revealed cervical disc herniation of C4/5 and C5/6. Following selective cervical nerve root block, complete but short-term control of symptoms lasted less than 48 hours. Percutaneous laser cervical discectomy was then performed under ultrasound guidance and achieved complete and enduring symptomatic relief up to 14-month follow-up.
UNASSIGNED: Cervical degenerative changes may be considered as potential cause for intractable hiccups, and ultrasound-guided percutaneous laser cervical discectomy may be used to treat hiccups caused by cervical discogenic etiology.
未经授权:一名41岁男性,经历了长达11年的棘手打嗝,2020年12月来到我们的疼痛科。口服药物和膈神经阻滞都不能令人满意地缓解打嗝。磁共振成像和计算机断层扫描扫描显示C4/5和C5/6颈椎间盘突出。选择性颈神经根阻滞后,症状的完全但短期控制持续不到48小时.然后在超声引导下进行经皮激光颈椎间盘切除术,并在长达14个月的随访中实现了完全和持久的症状缓解。
未经证实:颈椎退行性改变可能被认为是顽固性打嗝的潜在原因,超声引导下经皮激光颈椎间盘切除术可用于治疗由颈椎间盘源性病因引起的打嗝。