CASE REPORTS
JOURNAL ARTICLE
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Intractable hiccups as a presenting symptom of Chiari I malformation.

Acta Neurochirurgica 2008 November
INTRODUCTION: Hiccups as the only presenting symptom in neurosurgical practice is uncommon.

CASE HISTORY: We report a case of a 22-year-old man who was evaluated for a 9-month history of intractable hiccups. He was diagnosed with a case of Chiari malformation type I.

DISCUSSION: Surgical decompression improved the symptoms of the patient. The cause and pathogenesis of hiccups are discussed.

CONCLUSION: Chiari malformation should be considered in patients with intractable hiccups, who are otherwise asymptomatic for any neurological problems.

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