Successful Treatment of Intractable Hiccups with Benztropine / 대한소아신경학회지
Journal of the Korean Child Neurology Society
; (4): 165-168, 2014.
Article
em En
| WPRIM
| ID: wpr-40196
Biblioteca responsável:
WPRO
ABSTRACT
In general, intractable hiccups are uncommon. Various drugs and interventions have been reported, but there is no consensus on the treatment of intractable hiccups. We report a patient with meningitis and rhombencephalitis who presented with intractable hiccups that were resolved following treatment with benztropine. A 17-year-old boy was admitted to another hospital with a two-week history of fever and headache. A cerebrospinal fluid (CSF) test showed an increased white blood cell (WBC) count (290/muL, monocytes 100%). He was diagnosed with meningitis and treated with ceftriaxone. Two days after admission, hiccups started and lasted for eight days, despite treatment with phenobarbital, diazepam, haloperidol, phenytoin, and chlorpromazine. He was transferred to our hospital for further evaluation and treatment. He was clinically diagnosed with rhombencephalitis based upon the findings of brain magnetic resonance imaging (MRI). The fever and headache disappeared one day later. However, the hiccups persisted, despite symptomatic treatment with chlorpromazine, gabapentin, and metoclopramide. The hiccups disappeared after one day of adding benztropine without relapse. Benztropine can be considered in the treatment of intractable hiccups.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Fenobarbital
/
Fenitoína
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Recidiva
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Encéfalo
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Ceftriaxona
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Imageamento por Ressonância Magnética
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Monócitos
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Benzotropina
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Líquido Cefalorraquidiano
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Clorpromazina
Tipo de estudo:
Guideline
Limite:
Adolescent
/
Humans
/
Male
Idioma:
En
Revista:
Journal of the Korean Child Neurology Society
Ano de publicação:
2014
Tipo de documento:
Article