Abstract 064: A Strategic Infarct Involving Internal Capsule and Globus Pallidus Causing Sudden Onset Dementia with Persistent Hiccups: A Case Report

Strategic infarct dementia is a rare subtype of vascular dementia caused by a single infarct in a region of the brain involved in cognition, rather than a series of small infarcts. The internal capsule and globus pallidus are amongst those strategic regions as evidenced by prior case studies. Hiccups have central and peripheral causes. The main central neuro‐anatomical centre is presumed to be the medulla oblongata but some studies have shown supratentorial strokes causing hiccups as well. Hiccups secondary to an infarct in the globus has been shown in one prior case report and another case report showed development of hiccups in a patient with an infarct in the posterior limb of the internal capsule. Globus pallidus damage causing hiccups has also been reported in a case of posteroventral pallidotomy in a Parkinson's disease patient.