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Hemihyperhidrosis in cerebral infarction.

Shoaib Faruqi1, Gemma Redmond, Pusbar Ram

  • 1Arrowe Park Hospital, Upton, Wirral CH49 2PE, UK. shoaibfaruqi@rediffmail.com

Age and Ageing
|August 19, 2004
PubMed
Summary

Hemiparetic hemihyperhidrosis, or increased sweating on one side of the body after a stroke, is uncommon. This case report details a 66-year-old man experiencing this rare symptom following a cerebral infarct.

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Area of Science:

  • Neurology
  • Clinical Medicine
  • Neuroscience

Background:

  • Cerebral infarcts, commonly known as strokes, can lead to a variety of neurological deficits.
  • Unilateral sweating abnormalities, specifically hemihyperhidrosis, are not frequently reported complications of cerebral infarcts.
  • The precise neuroanatomical structures responsible for thermoregulation and their involvement in stroke-induced sweating remain incompletely understood.

Observation:

  • A 66-year-old male presented with a distinct clinical finding of increased sweating localized exclusively to the hemiparetic side of his body.
  • This hemihyperhidrosis developed secondary to a confirmed cerebral infarct.
  • The onset, intensity, and duration of the sweating symptoms were noted to be variable.

Findings:

  • The case highlights a rare association between cerebral infarcts and hemihyperhidrosis.

Related Experiment Videos

  • The underlying structural lesion causing this specific autonomic dysfunction is proposed to be related to the infarct's location.
  • This observation contributes to the understanding of autonomic nervous system dysregulation post-stroke.

    • Implications:

    • This case may prompt clinicians to consider hemihyperhidrosis as a potential, albeit rare, symptom following cerebral infarcts.
    • Further research into the neurocircuitry of thermoregulation could elucidate the mechanisms behind stroke-induced sweating.
    • Understanding such atypical presentations can improve diagnostic accuracy and patient management in stroke care.