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04 April 2018 : Case report  Jordan

Persistent Hiccups After Cervical Epidural Steroid Injection

Unusual or unexpected effect of treatment, Adverse events of drug therapy

Ahmad Khaled Abubaker1ABEF*, Daher K. Rabadi1DF, Manal Kassab2BC, Mohannad A. Al-Qudah3AF

DOI: 10.12659/AJCR.908536

Am J Case Rep 2018; 19:397-399

Abstract

BACKGROUND: Hiccup is a rare complication after a cervical epidural steroid injection used in the treatment of chronic pain. A few studies have reported on the physiological and pharmacological aspects of hiccups after epidural steroid injection and there have been some case reports published. Our presented case report provides insight into the side effect of hiccups that can occur in association with cervical epidural analgesia, and will help inform anesthesiologist about this unpleasant complication.

CASE REPORT: We present a rare case of persistent hiccups after a cervical epidural steroid injection in a 60-year-old male patient with chronic pain due to disc protrusion in C3–C7.

CONCLUSIONS: Persistent hiccups after epidural injection is a serious complication. As the exact mechanism of hiccups is not yet known, regardless the level of epidural or the mixture of drugs used, and the incident of hiccups after epidural injection is not well-reported, we think that the etiology and the incident rate must be further evaluated.

Keywords: Anesthetics, Local, Hiccup, Injections, Epidural, Steroids

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923