Stellate Ganglion Block for Persistent Hiccups Secondary to Lumbar Transforaminal Epidural Steroid Injection: A Case Discussion

Epidural steroid injections (ESIs), can cause persistent hiccups in rare cases. In the literature, the most frequently implicated drug group associated with hiccups is the corticosteroid class, even though there is no clear understanding of the underlying etiology, after a lumbar transforaminal epidural block using dexamethasone for lumbar radiculopathy, a 40-year-old man presented with persistent hiccups. During the eighth day following injection, in the absence of improvement with medications such as gabapentin, baclofen, metoclopramide, and chlorpromazine, a stellate ganglion block (SGB) was carried out.