A serious case of the hiccups
A five-day bout of singultus and vomiting put a serious hiccup in this man's holiday plans.
The 35-year-old presented to hospital for the third time in a month with intractable hiccups, just prior to his trip.
Doctors had previously prescribed chlorpromazine, which had provided no relief from his symptoms.
After reporting left-sided paraesthesias — previously blamed on a old disc injury — physical examination showed left-sided pronator drift, left index finger past-pointing, left upper extremity numbness, and imbalance.