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Stellate ganglion block for the treatment of intractable hiccups - A case report -
Anesth Pain Med 2018;13(2):192-6
Published online April 30, 2018
© 2018 The Korean Society of Anesthesiologists.

Hee-won Son, Young Woo Cho , Young-ung Kim, and Yong-joon Shin
Department of Anesthesiology and Pain Medicine, Ulsan University Hospital, Ulsan, Korea
Correspondence to: Young Woo Cho, M.D., Ph.D.
Department of Anesthesiology and Pain Medicine, Ulsan University Hospital, 877 Bangeojinsunhwandoro, Dong-gu, Ulsan 44033, Korea
Tel: 82-52-250-8461
Fax: 82-52-250-7249
Received September 14, 2017; Revised October 18, 2017; Accepted October 23, 2017.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Hiccups are an involuntary contraction of the diaphragm that may repeat several times per minute. In general, hiccups are very common, transient, and self-limited. However, if the condition persists longer than days or months, it impacts a patient’s quality of life. Pharmacologic and non-pharmacologic methods are used for the treatment of persistent or intractable hiccups. Nerve block and stimulation have been shown to be effective through neural pathway interruption or stimulation of the hiccup reflex arc. Stellate ganglion block (SGB) is an injection of local anesthetic adjacent to a group of nerves in the neck known as the stellate ganglion. The authors report a case of SGB as an effective treatment for a patient with intractable hiccups resulting from right lateral medullary syndrome.
Key Words : Hiccup, Lateral medullary syndrome, Stellate ganglion, Sympathetic nervous system.

April 2018, 13 (2)
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