What is the medical management of hiccups in patients with intracranial hemorrhage (ICH)?

From the Research

Medical Management of Hiccups in Patients with Intracranial Hemorrhage (ICH)

• The medical management of hiccups in patients with ICH is not directly addressed in the provided studies, however, some studies discuss the management of ICH and its associated symptoms.
• A study published in 2024 1 reports a case of a patient with ICH who experienced recurrent hiccups, which resolved immediately after surgical evacuation of the hematoma.
• The study suggests that persistent hiccups can be a manifestation of supratentorial lesions, including ICH, and that surgical evacuation of such lesions can rapidly alleviate hiccups associated with these pathologies.
• Other studies discuss the general management of ICH, including control of blood pressure, correction of coagulopathies, and surgical interventions 2, 3, 4, 5.
• However, these studies do not specifically address the management of hiccups in patients with ICH.

Management of ICH

• The management of ICH typically involves preventing further bleeding and minimizing the risk of hematoma expansion and cerebral ischemia 4.
• This may include controlling blood pressure, correcting coagulopathies, and reversing oral anticoagulation 4, 5.
• Surgical interventions, such as ventriculostomy or hematoma evacuation, may be indicated in certain cases, such as severe intraventricular hemorrhage or large cerebellar or temporal ICH 5.

Associated Symptoms

• Hiccups can be a symptom of various conditions, including ICH, and can be managed with treatment of the underlying condition 1.
• Other symptoms associated with ICH, such as headache, nausea, and vomiting, can be managed with supportive care and treatment of the underlying condition 3, 5.