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J Neurol Surg Rep 2015; 76(01): e120-e122
DOI: 10.1055/s-0035-1549221
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Intractable Hiccups Due to Posterior Inferior Cerebellar Artery Aneurysm

Monzer Chehab
1   Department of Radiology, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan, United States
,
Samir Noujaim
1   Department of Radiology, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan, United States
,
Omar Qahwash
2   Department of Neurosurgery, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan, United States
,
Duane Mezwa
1   Department of Radiology, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan, United States
,
Anindya Roy
1   Department of Radiology, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan, United States
› Author Affiliations
Further Information

Publication History

12 August 2014

01 February 2015

Publication Date:
27 April 2015 (online)

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Abstract

This is the third reported case of a posterior inferior cerebellar artery (PICA) aneurysm presenting as intractable hiccups (IH). A previously healthy 29-year-old woman was admitted with a 2-week history of hiccups occurring >100 times per minute. Symptoms persisted despite numerous noninvasive therapies. Magnetic resonance imaging and magnetic resonance angiogram of the brain showed a left PICA aneurysm that was confirmed by catheter angiography. Symptoms resolved following suboccipital craniotomy and resection. Although rare, PICA aneurysm is a potentially curable cause of IH.

Keywords

intractable hiccups - PICA aneurysm - MRA
 

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