Fatal posterior circulation stroke with persistent hiccups, sinus arrest and post-hiccup syncope: A case report

被引:0
|
作者
Zhang, Na [1 ]
Liang, Hao [1 ]
Wang, Xibing [1 ]
Wang, Hong [1 ,2 ]
机构
[1] Chengde Med Univ, Affiliated Hosp, Dept Cardiol, Chengde, Hebei, Peoples R China
[2] Chengde Med Univ, Affiliated Hosp, Dept Cardiol, 36 Nanyingzi St, Chengde 067000, Hebei, Peoples R China
关键词
case report; persistent hiccups; posterior circulation stroke; post-hiccup syncope; sinus arrest;
D O I
10.1097/MD.0000000000033053
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Rationale:Diagnosis of posterior circulation stoke is difficult, and magnetic resonance imaging especially diffusion-weighted imaging is superior to computed tomography. Persistent hiccups, sinus arrest, and post-hiccup syncope are extremely rare symptoms of posterior circulation stroke. However, there is no effective treatment for persistent hiccup. Patient concern and diagnosis:We describe a case of a 58-year-old hypertensive woman diagnosed with acute posterior circulation stroke who presented with persistent hiccups, sinus arrest, and post-hiccup syncope. Diffusion-weighted imaging revealed a high-intensity signal involving the left middle cerebellar peduncle and several spotted areas in the right occipital lobe. Interventions:Permanent pacemaker was implanted and metoclopramide was used to treat persistent hiccups. Outcome:The patient developed aspiration pneumonia and morbid dysphoria, and eventually died. Lessons:Posterior circulation stroke can cause cardiovascular and respiratory dysfunction. Consequently, physicians should pay more attention to posterior circulation lesions in patients with arrhythmia and syncope. An effective method to treat persistent hiccups is urgently needed.
引用
收藏
页数:4
相关论文
共 42 条
  • [1] A Case of Sinus Arrest and Post-hiccup Cough Syncope in Medullary Infarction
    Takazawa, Takanori
    Ikeda, Ken
    Kano, Osamu
    Kabuki, Takayuki
    Kawabe, Kiyokazu
    Iwasaki, Yasuo
    JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2014, 23 (03): : 566 - 571
  • [2] Hydrocortisone Therapy in Post-Stroke Management of Persistent Hiccups: A Case Report
    Latifa, Katia
    Al Ali, Mariam Ibrahim
    Areen, Hafsah
    Thomas, Liza
    Sabahat, Uzma
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2024, 16 (03)
  • [3] Thrombectomy in posterior circulation stroke through persistent primitive trigeminal artery: A case report
    Mulder, M. J. H. L.
    Nijeholt, G. J. Lycklama A.
    Dinkelaar, W.
    de Rooij, T. P. W.
    van Es, A. C. G. M.
    van der Kallen, B. F.
    Emmer, B. J.
    INTERVENTIONAL NEURORADIOLOGY, 2015, 21 (06) : 715 - 718
  • [5] Persistent Hiccups in Posterior Circulation Stroke as Rare Presentation of Pulmonary Embolism-Don't Jump the Gun
    Goyal, Amit
    Pallavi, Kumari
    Awasthy, Anand K.
    INDIAN JOURNAL OF CRITICAL CARE MEDICINE, 2022, 26 (09) : 1058 - 1059
  • [7] Persistent trigeminal artery in a patient with posterior circulation stroke treated with rt-PA: case report
    Axel Ferreira
    Paulo S. Coelho
    Vítor Tedim Cruz
    BMC Neurology, 19
  • [8] Persistent trigeminal artery in a patient with posterior circulation stroke treated with rt-PA: case report
    Ferreira, Axel
    Coelho, Paulo S.
    Cruz, Vitor Tedim
    BMC NEUROLOGY, 2019, 19 (01)
  • [9] Dysphagia as the Predominant Symptom in Posterior Circulation Stroke: A Case Report
    Herout, Kyle T.
    Durant, Edward J.
    Fong, Jonathan
    AMERICAN JOURNAL OF CASE REPORTS, 2021, 22
  • [10] A Patient With (Initially) Non-Persistent Vertigo - A Posterior Circulation Stroke Case
    Costa, Ana
    Miranda, Olinda
    Cerqueira, Ana
    Fernandes, Carlos
    Cotter, Jorge
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2022, 14 (01)