Phrenic Nerve Stimulator Placement via the Cervical Approach: Technique and Anatomic Considerations

Intractable hiccups and neck pain due to left C4 radiculopathy decreased with posterior foraminotomy

Background:

Intractable hiccups can last for more than 1–2 months and can occur, as shown in this case study, due to cervical nerve root compression.

Case Description:

A 76-year-old male presented with intractable hiccups and neck pain of 7 months’ duration. The patient underwent magnetic resonance imaging studies of the entire neuraxis. The only abnormality found was on the cervical magnetic resonance images that demonstrated left C4 nerve root compression due to the C3– C4 lateral/foraminal osteophyte. Following a left-sided C3–C4 laminoforaminotomy, the hiccups and the neck pain improved.

Conclusion:

A 76-year-old male presented with intractable hiccups and neck pain attributed to a left C3/C4 lateral/foraminal spondylotic ridge. Following a left C3–C4 laminoforaminotomy, the frequency of hiccup attacks remained the same, but their duration was markedly shortened to 30 s, while the neck pain improved.