{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:03:02Z","timestamp":1787025782244,"version":"build-2736575974"},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"10","license":[{"start":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T00:00:00Z","timestamp":1678060800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,6]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Hiccups are characterized by involuntary, intermittent, repetitive, myoclonic, and spasmodic contractions of the diaphragm. Hiccups are termed \u201cintractable\u201d when they last for over 1 month.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A rare case of intractable hiccups due to an uncommon location of cavernous hemangioma in the dorsal medulla is illustrated. With respect to the management, surgical excision was performed, and postsurgical complete recovery was witnessed, which has been reported only in six cases worldwide to date.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>A mechanism of the hiccups reflex arc is discussed in detail with special reference to the need for equal emphasis on evaluating central nervous system causes and peripheral etiologies for pertinent hiccups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case22336","type":"journal-article","created":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T08:10:45Z","timestamp":1678090245000},"source":"Crossref","is-referenced-by-count":2,"title":["Dorsal medullary cavernous hemangioma presenting as obstinate hiccups and its surgical treatment: illustrative case"],"prefix":"10.3171","volume":"5","author":[{"given":"Sumirini","family":"Puppala","sequence":"first","affiliation":[{"name":"Departments of Neurology and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhijit","family":"Acharya","sequence":"additional","affiliation":[{"name":"Neurosurgery, IMS & SUM Hospital, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atmaranjan","family":"Dash","sequence":"additional","affiliation":[{"name":"Neurosurgery, IMS & SUM Hospital, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surjyaprakash S.","family":"Choudhury","sequence":"additional","affiliation":[{"name":"Departments of Neurology and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Support Oncol","first-page":"122","article-title":"Diagnosis and management of hiccups in the patient with advanced cancer","volume":"7","author":"Marinella MA","year":"2009","unstructured":"Marinella MA. Diagnosis and management of hiccups in the patient with advanced cancer. J Support Oncol. 2009;7:122\u2013127, 130.19731575"},{"issue":"12","key":"b2","series-title":"J Paediatr Child Health","first-page":"707","article-title":"Seizures and a hiccup in the diagnosis","volume":"40","author":"Wallace AH","year":"2004","unstructured":"Wallace AH, Manikkam N, Maxwell F. Seizures and a hiccup in the diagnosis. J Paediatr Child Health. 2004;40(12):707\u2013708."},{"key":"b3","series-title":"Palliative Medicine","first-page":"894","article-title":"Hiccups","author":"Smith HS","year":"2009","unstructured":"Smith HS. Hiccups. In: Walsh TD, ed. Palliative Medicine. 1st ed. Elsevier Saunders; 2009:894\u2013897."},{"issue":"5","key":"b4","series-title":"Ann Emerg Med","first-page":"565","article-title":"Hiccups (singultus): review and approach to management","volume":"20","author":"Kolodzik PW","year":"1991","unstructured":"Kolodzik PW, Eilers MA. Hiccups (singultus): review and approach to management. Ann Emerg Med. 1991;20(5):565\u2013573.2024799"},{"issue":"1","key":"b5","series-title":"Clin Neurol Neurosurg","first-page":"13","article-title":"Persistent hiccup as presenting symptom in medulla oblongata cavernoma: a case report and review of the literature","volume":"102","author":"Musumeci A","year":"2000","unstructured":"Musumeci A, Cristofori L, Bricolo A. Persistent hiccup as presenting symptom in medulla oblongata cavernoma: a case report and review of the literature. Clin Neurol Neurosurg. 2000;102(1):13\u201317.10717396"},{"issue":"1","key":"b6","series-title":"J Neurosurg","first-page":"50","article-title":"Cavernous malformations of the brainstem: experience with 100 patients","volume":"90","author":"Porter RW","year":"1999","unstructured":"Porter RW, Detwiler PW, Spetzler RF,  Cavernous malformations of the brainstem: experience with 100 patients. 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Br J Neurosurg. 1993;7(3):255\u2013260.8338646"},{"issue":"48","key":"b9","series-title":"Dtsch Arztebl Int","first-page":"822","article-title":"Persistent hiccups (singultus) as the presenting symptom of medullary cavernoma","volume":"108","author":"Eisen\u00e4cher A","year":"2011","unstructured":"Eisen\u00e4cher A, Spiske J. Persistent hiccups (singultus) as the presenting symptom of medullary cavernoma. Dtsch Arztebl Int. 2011;108(48):822\u2013826.22211149"},{"issue":"3","key":"b10","series-title":"J Neurol Neurosurg Psychiatry","first-page":"353","article-title":"Intractable hiccup induced by cavernous angioma in the medulla oblongata: case report","volume":"81","author":"Mattana M","year":"2010","unstructured":"Mattana M, Mattana PR, Roxo MR. Intractable hiccup induced by cavernous angioma in the medulla oblongata: case report. 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