Henry Ford Hospital Medical Journal


A 29-year-old man is presented who developed intractable hiccups following a subarachnoid hemorrhage from a posterior fossa dural arteriovenous malformation (AVM). The hiccups persisted even after various treatments had been attempted, and the AVM had been excised surgically. The hiccups stopped after a bilateral phrenic nerve section was performed. This report reviews the central causes and mechanisms of hiccups and emphasizes the importance of selective vertebral angiography in demonstrating posterior fossa AVM.