Intractable hiccups as a presenting symptom of Chiari I malformation.

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.