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Case Reports: Unusual association of diseases/symptoms
Intractable hiccups as the harbinger of a diffuse pontine glioma
  1. Takshak Shankar,
  2. Aadya Pillai,
  3. Nidhi Kaeley and
  4. Nagasubramanyam Vempalli
  1. Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
  1. Correspondence to Dr Nagasubramanyam Vempalli; nagasubramanyam.em{at}aiimsrishikesh.edu.in

Abstract

Hiccups are experienced by people of all ages. While acute hiccups are benign and self-limited, persistent and intractable hiccups can sometimes signal a serious disease. We present a young previously healthy man who complained of only hiccups for 4 months and later developed a severe headache and projectile vomiting. His systemic examination was within normal limits. Brain imaging revealed a diffuse pontine glioma with mild hydrocephalus.

  • Brain stem / cerebellum
  • Neurooncology

https://doi.org/10.1136/bcr-2021-247830

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    Footnotes

    • Contributors TS: Conception of the work, collection of case details, drafting the article and final approval of the version to be published. AP: Collection of case details, drafting the article and final approval of the version to be published. NK: Conception of the work, critical revision and final approval of the version to be published. VN: Conception of the work, drafting the article, critical revision and final approval of the version to be published.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.