Thapa, BSedain, GSharma, MR2026-04-162026-04-162018https://hdl.handle.net/20.500.14572/5776B Thapa Department of General Surgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu G Sedain Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu MR Sharma Department of Neurosurgery, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, KathmanduAbstract Intractable hiccups is a poorly understood medical problem and the pathophysiology is highly debatable. Here we report a interesting case of 40 year male patient who presented to us with complains of difficulty in swallowing and hiccups for 3 weeks which was resistant to medication . MRI scans revealed Chiari I malformation and cervical syrinx. He underwent Suboccipital craniectomy including a C1 laminectomy following which he was relieved of intractable hiccups.en-USArticle