Year 2021 / Volume 28 / Number 3

Cilinical Note

Persistent hiccups after epidural injection of betamethasone: a case report

Rev. Soc. Esp. Dolor. 2021; 28(2): 169-171 / DOI: 10.20986/resed.2021.3914/2021

Fernando Vargas, Cristina Ramos, Alberto Fernández


ABSTRACT

Epidural analgesia by corticosteroid injection is a common procedure in pain units. Despite being a technique with a low rate of complications, the appearance of persistent hiccups after the intervention has been described. We present as a clinical case the first episode published in Spain and the sixth in the world of persistent hiccups due to betamethasone administered by epidural injection, accompanied by a summary of the definition of this entity and its aetiology, pathophysiology, management and incidence in patients treated with oral and epidural corticosteroids. Due to its duration, impact on quality of life and need for symptomatic treatment, it is considered the most severe case published to date.



RESUMEN

La analgesia epidural mediante inyección de corticoides es un procedimiento frecuente en las unidades de dolor. A pesar de ser una técnica con bajo índice de complicaciones, se ha descrito la aparición de hipo persistente tras la intervención. Se presenta como caso clínico el primer episodio publicado en España y sexto en el mundo de hipo persistente por betametasona administrada mediante inyección epidural, acompañado de una recapitulación sobre la definición de esta entidad y su etiología, fisiopatología, manejo e incidencia en pacientes a tratamiento con corticoides orales y epidurales. Debido a la duración, impacto en la calidad de vida y necesidad de tratamiento sintomático, se considera el caso más grave publicado hasta la fecha.





Complete Article

Nuevo comentario

Security code:
CAPTCHA code image
Speak the codeChange the code
 

Comentarios

No comments in this article

Bibliografía

El-Yahchouchi CA, Plastaras CT, Maus TP, Carr CM, McCormick ZL, Geske JR, et al. Adverse Event Rates Associated with Transforaminal and Interlaminar Epidural Steroid Injections: A Multi-Institutional Study. Pain Med Malden Mass. 2016;17(2):239-49.
2. Kolodzik PW, Eilers MA. Hiccups (singultus): review and approach to management. Ann Emerg Med. 1991;20(5):565-73.
3. Souadjian JV, Cain JC. Intractable hiccup. Etiologic factors in 220 cases. Postgrad Med. 1968;43(2):72-7.
4. Slipman CW, Shin CH, Patel RK, Braverman DL, Lenrow DA, Ellen MI, et al. Persistent hiccup associated with thoracic epidural injection. Am J Phys Med Rehabil. 2001;80(8):618-21.
5. Abbasi A, Roque-Dang CM, Malhotra G. Persistent hiccups after interventional pain procedures: a case series and review. PM R 2012;4(2):144-51.
6. Kaydu A, Kılıç ET, Gökçek E, Akdemir MS. Unexpected Complication after Caudal Epidural Steroid Injection: Hiccup. Anesth Essays Res. 2017;11(3):776-7.
7. Ritz ML, Bailey C, Overstreet K, Gorlin A. Persistent hiccups following cervical epidural steroid injection with betamethasone. Int Med Case Rep J. 2018;11:263-4.
8. Liaw C-C, Wang C-H, Chang H-K, Wang H-M, Huang J-S, Lin Y-C, et al. Cisplatin-related hiccups: male predominance, induction by dexamethasone, and protection against nausea and vomiting. J Pain Symptom Manage. 2005;30(4):359-66.
9. El Abd O, Amadera J, Pimentel DC, Gomba L. Immediate and acute adverse effects following transforaminal epidural steroid injections with dexamethasone. Pain Physician. 2015;18(3):277-86.
10. Kim J, Oh H, Seo W. Factors associated with dexamethasone-induced hiccups in cancer patients undergoing chemotherapy: A case control study. Eur J Oncol Nurs Off J Eur Oncol Nurs Soc. 2018;37:23-8.
11. McAllister RK, McDavid AJ, Meyer TA, Bittenbinder TM. Recurrent persistent hiccups after epidural steroid injection and analgesia with bupivacaine. Anesth Analg. 2005;100(6):1834-6.
12. Kim JE, Lee MK, Lee DK, Choi SS, Park JS. Continuous cervical epidural block: Treatment for intractable hiccups. Medicine (Baltimore). 2018;97(6):e9444.
13. Kang JH, Hui D, Kim MJ, Kim HG, Kang MH, Lee G-W, et al. Corticosteroid rotation to alleviate dexamethasone-induced hiccup: a case series at a single institution. J Pain Symptom Manage. 2012;43(3):625-30.
14. Davis JN. An experimental study of hiccup. Brain J Neurol. 1970;93(4):851-72.
15. Dickerman RD, Overby C, Eisenberg M, Hollis P, Levine M. The steroid-responsive hiccup reflex arc: competitive binding to the corticosteroid-receptor? Neuro Endocrinol Lett. 2003;24(3-4):167-9.
16. Abubaker AK, Rabadi DK, Kassab M, Al-Qudah MA. Persistent Hiccups After Cervical Epidural Steroid Injection. Am J Case Rep. 2018;19:397-9.
17. Steger M, Schneemann M, Fox M. Systemic review: the pathogenesis and pharmacological treatment of hiccups. Aliment Pharmacol Ther. 2015;42(9):1037-50.
18. Polito NB, Fellows SE. Pharmacologic Interventions for Intractable and Persistent Hiccups: A Systematic Review. J Emerg Med. 2017;53(4):540-9.

Artículos relacionados

Persistent headache after craniotomy for meningioma: charting of the afferent pathways for nociception: a discussion

Rev. Soc. Esp. Dolor. 2023; 30(3): 191-195 / DOI: 10.20986/resed.2023.4069/2023

A case of neuralgic amyotrophy after vaccination against COVID-19

Rev. Soc. Esp. Dolor. 2023; 30(3): 187-190 / DOI: 10.20986/resed.2023.4021/2022

Superior hypogastric plexus block for the management of non-oncological chronic pelvic pain: effectiveness and safety

Rev. Soc. Esp. Dolor. 2023; 30(2): 109-114 / DOI: 10.20986/resed.2023.4038/2022

Bone pain management with opioid medication in a patient with Camurati-Engelmann disease: a case report

Rev. Soc. Esp. Dolor. 2022; 29(1): 51-55 / DOI: 10.20986/resed.2021.3930/2021

Ultrasound guided interlaminar epidural steroid injection: the cumulative sum method (CUSUM) for performance evaluation

Rev. Soc. Esp. Dolor. 2022; 29(1): 21-27 / DOI: 10.20986/resed.2022.3988/2022

Lumbar epidural steroids injections reduce catastrophism on the lumbosacral radicular syndrome

Rev. Soc. Esp. Dolor. 2021; 28(6): 325-331 / DOI: 10.20986/resed.2022.3947/2021

Efficacy and complications of analgesic techniques for the treatment of moderate to severe postoperative acute pain

Rev. Soc. Esp. Dolor. 2021; 28(5): 264-265 / DOI: 10.20986/resed.2021.3942/2021

Dorsal root ganlion pulsed radiofrequency for lumbosacral radicular pain: a narrative review

Rev. Soc. Esp. Dolor. 2021; 28(4): 219-231 / DOI: 10.20986/resed.2021.3882/2021

Pharmacological osteonecrosis in maxillofacial surgery, period 2013-2019

Rev. Soc. Esp. Dolor. 2021; 28(4): 211-218 / DOI: 10.20986/resed.2021.3837/2020

Evolution of low back pain in cancer patients treated with interventional pain management

Rev. Soc. Esp. Dolor. 2021; 28(2): 76-81 / DOI: 10.20986/resed.2021.3901/2021

Platelet rich plasma and intra-articular mesenchymal stem cells in osteoarthritis

Rev. Soc. Esp. Dolor. 2021; 28(13): 80-84 / DOI: 10.20986/resed.2021.3858/2020

Infiltrations of steroids and hyaluronic acid in osteoarthritis

Rev. Soc. Esp. Dolor. 2021; 28(13): 64-72 / DOI: 10.20986/resed.2021.3854/2020

Transitional pain clinic

Rev. Soc. Esp. Dolor. 2020; 27(6): 369-374 / DOI: 10.20986/resed.2020.3840/2020

Symptomatic treatment for migraña. Drugs used and related variables. Results of the european survey on work and migraine

Rev. Soc. Esp. Dolor. 2020; 27(3): 178-191 / DOI: 10.20986/resed.2020.3744/2019

Drug consumption used for musculoskeletal pain treatment in a cohort of blue-collar workers in Zaragoza (Spain)

Rev. Soc. Esp. Dolor. 2020; 27(3): 150-159 / DOI: 10.20986/resed.2020.3749/2019

Clinical experience with the implementation of a postdural puncture headache multidisciplinary protocol

Rev. Soc. Esp. Dolor. 2020; 27(2): 133-137 / DOI: 10.20986/resed.2020.3782/2019

Abducens nerve palsy associated with dural puncture and neurovascular compression

Rev. Soc. Esp. Dolor. 2019; 26(6): 376-378 / DOI: 10.20986/resed.2019.3722/2018

Cervical epidural anesthesia and analgesia for upper limb surgery

Rev. Soc. Esp. Dolor. 2019; 26(5): 304-308 / DOI: 10.20986/resed.2019.3686/2018

New strategies for postoperative pain control in tonsillectomy surgery. Is all that glitters gold?

Rev. Soc. Esp. Dolor. 2019; 26(5): 270-275 / DOI: 10.20986/resed.2019.3742/2019

Epidural injections: caudal, interlaminar or transforaminal. More than a shot

Rev. Soc. Esp. Dolor. 2019; 26(5): 255-258 / DOI: 10.20986/resed.2019.3764/2019

NMDA antagonism in the treatment of cluster headache

Rev. Soc. Esp. Dolor. 2019; 26(4): 247-250 / DOI: 10.20986/resed.2019.3710/2018

Motor block after caudal epidural infiltration: a case report

Rev. Soc. Esp. Dolor. 2019; 26(2): 120-123 / DOI: 10.20986/resed.2018.3669/2018

Myofascial pain syndrome as a cause of postoperative acute pain in hip surgery

Rev. Soc. Esp. Dolor. 2019; 26(2): 117-119 / DOI: 10.20986/resed.2019.3655/2018

Epidural steroids in lumbar radicular pain: particulate vs. non-particulate. This is the question

Rev. Soc. Esp. Dolor. 2019; 26(2): 70-71 / DOI: 10.20986/resed.2019.3735/2019

Non-steroidal anti-inflammatory drugs and cardiovascular safety: is naproxen safer than celecoxib? New evidences

Rev. Soc. Esp. Dolor. 2018; 25(6): 365-367 / DOI: 10.20986/resed.2017.3549/2016

Use of major opioids for control of pain in hospitalized patients

Rev. Soc. Esp. Dolor. 2018; 25(6): 318-324 / DOI: 10.20986/resed.2018.3629/2017

Proctalgia and pudendal nerve entrapment: an association to know

Rev. Soc. Esp. Dolor. 2018; 25(6): 311-317 / DOI: 10.20986/resed.2018.3623/2017

Non-steroidal anti-inflammatory drugs and risk of heart failure: new contributions

Rev. Soc. Esp. Dolor. 2018; 25(5): 306-307 / DOI: 10.20986/resed.2016.3518/2016

Expenditure, prescription and consumption of analgesic drugs before and during the economic crisis

Rev Soc Esp Dolor 2018; 25(3): 155-162 / DOI: 10.20986/resed.2017.3609/2017

Epidural analgesia vs. surgical wound analgesia to control acute post-operative pain in open colon surgery

Rev Soc Esp Dolor 2017; 24(5): 234-240 / DOI: 10.20986/resed.2017.3559/2016

The effectiveness of electrical spinal-cord stimulation in type i complex regional pain syndrome. A literature review

Rev Soc Esp Dolor 2017; 24(4): 169-178 / DOI: 10.20986/resed.2016.3501/2016

Instrucciones para citar

Vargas F, Ramos C, Fernández A. Persistent hiccups after epidural injection of betamethasone: a case report. Rev Soc Esp Dolor 2021; 28(2): 169-171 / DOI: 1020986/resed20213914/2021


Descargar a un gestores de citas

Descargue la cita de este artículo haciendo clic en uno de los siguientes gestores de citas:

Métrica

Este artículo ha sido visitado 15069 veces.
Este artículo ha sido descargado 1 veces.

Estadísticas de Dimensions


Estadísticas de Plum Analytics

Ficha Técnica

Recibido: 02/04/2021

Aceptado: 20/06/2021

Prepublicado: 30/06/2021

Publicado: 30/07/2021

Tiempo de revisión del artículo: 64 días

Tiempo de prepublicación: 89 días

Tiempo de edición del artículo: 119 días


Compartir

Este artículo aun no tiene valoraciones.
Reader rating:
Rate this article:
© 2024 Revista de la Sociedad Española del Dolor
ISSN: 1134-8046   e-ISSN: 2254-6189

      Indexada en: