Journal Name:
- Cerrahpaşa Tıp Dergisi
Key Words:
Keywords (Original Language):
Author Name | University of Author | Faculty of Author |
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Abstract (2. Language):
Hiccup is a reflex originated
activity that is characterized by an intermittent
contraction of diaphragm followed by
glottic closure. Among the various systemic
causes including gastrointestinal system
and cardiovascular system disorders, this
activity is also seen as a symptom of lateral
medullary syndrome. If hiccup becomes a
sustained activity, beginning to treatment is
unevitable. In this report, chronic hiccup as
a sign of lateral medullary syndrome was
evaluated in 4 cases and the alternatives of
treatment against hiccup was debated.
Observation.- 4 cases with an acute onset
neurological symptoms together with hiccups
were diagnosed as lateral medullary
syndrome based on their neurological examinations
and cranial imagings. Hiccup is
evaluated as a symptom of lateral medullary
syndrome and treated with different medications.
Chlorpromazine, valproic acid and baclofen
constituted treatment alternatives
against hiccup in different dosages and
combinations. The full recovery from hiccups
was observed in all patients.
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Abstract (Original Language):
Hıçkırık diafragmanın aralıklı olarak
kasılması ve bu kasılmalar sırasında glottisin
kapanması ile karakterize refleks orijinli
bir aktivitedir. Lateral medüller
sendromun seyri sırasında da ortaya çıkabilen
bu aktivite süreklilik kazandığında
tedavi edilmesi gerekli bir semptom olarak
karşımıza çıkmaktadır. Akut başlang
ıçlı nörolojik semptomlar ile birlikte hıç-
kırık yakınması bulunan dört olguya nörolojik
muayene ve kranyal görüntüleme
tetkikleri sonucunda lateral medüller
sendrom tanısı konmuş, hıçkırık bu sendromun
bir bulgusu olarak değerlendirile-
rek tedavi edilmiştir. Kronik hıçkırık tedavisinde
kullanılabilecek ilaçlar olarak
bildirilen klorpromazin, valproik asit,
baklofen kullanımı yazıda vurgulanmış,
diğer tedavi alternatifleri de tartışılmıştır.
FULL TEXT (PDF):
- 2
115-119