{"id":"73f571f2-59c4-4f1b-a265-719c0bd9337f","slug":"intractable-hiccup-caused-by-syrinx-in-chiari-type-i-malformation-two-cases-report","title":"Intractable hiccup caused by syrinx in Chiari type I malformation. Two cases report","authors":["Koki Satake","Hisaaki Uchikado","Natsuko Miyahara","Takehiro Makizono","Motohiro Morioka","Takahiro Miyahara"],"abstract":"Background: Intractable hiccups (IH) due to syringomyelia or syringomyelia/syringobulbia associated with Chiari type I malformations (CMI) are extremely rare. Here, we present two patients who presented with IH; one had a CMI with syringomyelia/syringobulbia, and the other, with CMI and syringomyelia. Case Description: The first patient was an 18-year-old female who presented with IH attributed to a holocord syrinx and syringobulbia involving the right dorsolateral medulla. The second patient was a 22-year-old female with a C3-5 syringomyelia. Both patients successfully underwent foramen magnum decompressions that improved their symptoms, while subsequent magnetic resonance studies confirmed shrinkage of their syringobulbia/syringomyelia cavities. Conclusion: IH was due to cervical syringomyelia/syringobulbia in one patient and cervical syringomyelia in the other; both were successfully managed with foramen magnum decompressions.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/73f571f2-59c4-4f1b-a265-719c0bd9337f/featured/hero-1781559991341.png","publishDate":"2023-10-06T00:00:00.000Z","doi":"10.25259/SNI_728_2023","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/73f571f2-59c4-4f1b-a265-719c0bd9337f/pdf"}