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Compensatory quadrant-hyperhidrosis after contralateral intrathoracic surgery: a case report.

Stefan Brodoehl¹, Otto Wilhelm Witte, Albrecht Guenther

¹Hans Berger Department of Neurology, Jena University Hospital, Erlanger Allee 101, D 07747, Jena, Germany. stefan.brodoehl@med.uni-jena.de.

Journal of Medical Case Reports

|January 22, 2013

Summary

Unilateral hyperhidrosis, a neurological symptom, can occur after thoracic surgery. Botulinum toxin is a potential treatment option alongside anticholinergic drugs for this condition.

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Area of Science:

Neurology
Surgical Complications

Background:

Unilateral hyperhidrosis can indicate neurological irritation.
It may stem from central or peripheral nervous system issues.

Purpose of the Study:

To report a case of isolated unilateral hyperhidrosis following intrathoracic surgery.
To discuss potential management strategies for this rare complication.

Main Methods:

Case presentation of a 67-year-old male patient.
Detailed description of hyperhidrosis in the right upper body quadrant.
Association with prior left-sided pleural lipoma surgery.

Main Results:

The patient developed hyperhidrosis affecting the right side of his face, arm, and chest.
This condition emerged post-intrathoracic surgery.

Conclusions:

Isolated unilateral hyperhidrosis is a possible sequela of intrathoracic procedures.
Consider botulinum toxin therapy in addition to anticholinergic drugs.