Novel Technique for Intractable Hiccups with Ultrasound-Guided Percutaneous Laser Cervical Discectomy: Case Report

Study design: Case report and technical note. Objective: The aim of this study is to report our novel ultrasound-guided technique of percutaneous laser cervical discectomy in one successful case of intractable hiccups. Summary: of background data: Intractable hiccups serve no physiological purpose, but significantly reduce the quality of life. There are a variety of medications suggested for the treatment of persistent or intractable hiccups. However, it remains a challenge for the management of intractable hiccups. Methods: : A 41-year-old male, who suffered intractable hiccups over 11 years, came to our pain department in December 2020. Neither oral medication nor phrenic nerve block achieved satisfactory relief of hiccups. Magnetic resonance imaging and computed tomography scan revealed cervical disc herniation of C4/5 and C5/6. Following selective cervical nerve root block, complete but short-term control of symptoms lasted less than 48 hours. Percutaneous laser cervical discectomy was then performed under ultrasound guidance. Results: : The pathological hiccup reflex was terminated immediately after the minimally-invasive procedure, and the enduring therapeutic effect was reported up to the 14-month follow-up. We did not observe any obvious complications in this case. Conclusions: : Ultrasound-guided percutaneous laser cervical discectomy may be an alternative and safe option for those with intractable hiccups caused by cervical discogenic etiology.