| Autor: |
Tammineedi, Sai Niharika, Singla, Ramit, Cornejo Leon, Marilhia, Kohli, Muskan, Saini, Chetan, Pitiliya, Aakanksha |
| Zdroj: |
eNeurologicalSci; June 2024, Vol. 35 Issue: 1 |
| Abstrakt: |
Intractable hiccups, persisting beyond 48 h, pose a clinical challenge, particularly in demyelinating diseases like Neuromyelitis Optica (NMO) and Multiple Sclerosis (MS). Understanding the complex neural pathways of the hiccup reflex and the impact of high-dose steroid therapy is crucial for managing this rare but distressing symptom. The hiccup reflex involves afferents from the vagus, phrenic, and sympathetic nerves, with the reflex center in the anterior horns at the C3 to 5 level and the medulla oblongata. The potential interplay between demyelination and corticosteroid therapy in triggering persistent hiccups requires exploration. |
| Databáze: |
Supplemental Index |
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