Iwase, Satoshi and Inukai, Yoko and Nishimura, Naoki and Sato, Maki and Sugenoya, Junichi (2014) Hemifacial hyperhidrosis associated with ipsilateral/contralateral cervical disc herniation myelopathy. Functional considerations on how compression pattern determines the laterality. Functional Neurology, 29 (1). pp. 67-73. ISSN 1971-3274
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Abstract
Sweating is an important mechanism for ensuring constant thermoregulation, but hyperhidrosis may be disturbing. We present five cases of hemifacial hyper-hidrosis as a compensatory response to an/hypo-hidrosis caused by cervical disc herniation. All the patients complained of hemifacial hyperhidrosis, without anisocoria or blepharoptosis. Sweat function testing and thermography confirmed hyperhidrosis of hemifacial and adjacent areas. Neck MRI showed cervical disc herniation. Three of the patients had lateral compression with well-demarcated hypohidrosis below the hyperhidrosis on the same side as the cervical lesion. The rest had paramedian compression with poorly demarcated hyperhidrosis and hypohidrosis on the contralateral side. Although MRI showed no intraspinal pathological signal intensity, lateral dural compression might influence the circulation to the sudomotor pathway, and paramedian compression might influence the ipsilateral sulcal artery, which perfuses the sympathetic descending pathway and the intermediolateral nucleus. Sweat function testing and thermography should be performed to determine the focus of the hemifacial hyperhidrosis, and the myelopathy should be investigated on both sides.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | cervical disc herniation, hemifacial hyperhidrosis, iodine starch method, microcirculation disorder, neck magnetic resonance imaging, thermography |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 16 Dec 2015 16:49 |
| Last Modified: | 16 Dec 2015 16:49 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/11098 |
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