Zerrin PELİN, Gökhan ERKOL, Hayrünnisa DENKTAŞ, Melda BOZLUOLCAY, Gülcan BUGAY

Lateral meduller sendromun bir bulgusu olarak hıçkırık ve tedavisi: Dört olgu sunumu

Hıçkırık diyaframının aralıklı olarak kasılması ve bu kasılmalar sırasında glottisinin kapanması ile karakterize refleks orijinli bir aktivitedir. Lateral medüller sendromun seyri sırasında da prtaya çıkabilen bu aktivite süreklilik kazandığında tedavi edilmesi gerekli bir semptom olarak karşımıza çıkmaktadır. Akut başlangıçlı nörolojik semptomlar ile birkte hıçkırık yakınması bulunan dört olguya nörolojik muayene ve kranval görüntüleme tetkikleri sonucunda lateral medüller sendrom tanısı konmuş, hıçkırık bu sendromun bir bulgusu olarak değerlendirilerek tedavi edilmiştir. Kronik hıçkırık tedavisinde kullanılabilecek ilaçlar olarak bildirilen klorpromazin, valproik asit, baklofen kullanımı yazıda vurgulanmış, diğer tedavi alternatifleri de tartışılmıştır.

Hiccups: As a sign of lateral medullary syndrome: Reports of four cases

Background.- Hiccup is a reflex originated activity that is characterized by an intermittent contraction of diaphragm followed by glottic closure. Among the various systemic causes including gastrointestinal system and cardiovascular system disorders, this activity is also seen as a symptom of lateral medullary syndrome. If hiccup becomes a sustained activity, beginning to treatment is unevitable. In this report, chronic hiccup as a sign of lateral medullary syndrome was evaluated in 4 cases and the alternatives of treatment against hiccup was debated. Observation.- 4 cases with an acute onset neurological symptoms together with hiccups were diagnosed as lateral medullary syndrome based on their neurological examinations and cranial imagings. Hiccup is evaluated as a symptom of lateral medullary syndrome and treated with different medications. Chlorpromazine, valproic acid and baclofen constituted treatment alternatives against hiccup in different dosages and combinations. The full recovery from hiccups was observed in all patients.

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