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An intramedullary tumor presenting with hyperhidrosis.

Sandip Chatterjee1, Kaushik Ghosh, Tapas Banerjee

  • 1Department of Neurosurgery, AMRI Hospital, Kolkata, India. sandipc1@vsnl.com.

Neurology India
|October 9, 2004
PubMed
Summary

A rare case of a cervical intramedullary tumor presented with severe hyperhidrosis. Surgical tumor removal successfully resolved the excessive sweating, a previously unreported symptom for this condition.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Oncology

Background:

  • Intramedullary tumors are rare neoplasms within the spinal cord.
  • Hyperhidrosis is excessive sweating, often associated with autonomic dysfunction.
  • The clinical presentation of intramedullary tumors typically involves sensory, motor, or autonomic deficits.

Observation:

  • This report details a unique case of a cervical intramedullary tumor.
  • The patient's primary symptom was disabling hyperhidrosis.
  • This symptom was the initial manifestation leading to diagnosis.

Findings:

  • Surgical debulking of the cervical intramedullary tumor led to complete resolution of hyperhidrosis.
  • This represents the first reported instance of hyperhidrosis as a presenting symptom of an intramedullary tumor.

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  • The findings suggest a potential link between spinal cord tumors and autonomic dysfunction manifesting as hyperhidrosis.

    • Implications:

    • Highlights the importance of considering spinal cord pathology in patients with unexplained hyperhidrosis.
    • Suggests that intramedullary tumors can present with atypical autonomic symptoms.
    • Underscores the potential for surgical intervention to alleviate such symptoms and improve patient outcomes.