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Unilateral hyperhidrosis secondary to brainstem meningioma producing mass effect
Ashlee Margheim1, Courtney R Schadt
1University of Louisville School of Medicine, Louisville, KY. amargheim01@gmail.com.
Dermatology Online Journal
|February 12, 2020
Summary
A rare neurological condition caused isolated sweating on one side of the body. A brainstem tumor is suspected as the cause of this unusual hyperhidrosis.
Area of Science:
- Neurology
- Neuroscience
- Sweating Disorders
Background:
- Unilateral hyperhidrosis, or sweating on one side of the body, can stem from various neurological issues.
- Associated conditions include head trauma, cerebral palsy, spinal cord injury, peripheral neuropathy, hypothalamic lesions, and strokes.
Observation:
- This report details a 61-year-old male patient presenting with isolated sweating exclusively on the left side of his entire body.
- This presentation is highly unusual and localized.
Findings:
- The patient's symptoms suggest a potential neurological cause for the unilateral hyperhidrosis.
- A right-sided brainstem meningioma exerting mass effect is the primary suspected etiology.
Implications:
- This case highlights the diverse and sometimes localized manifestations of neurological disorders.
- Understanding the link between brainstem lesions and hyperhidrosis can improve diagnostic accuracy for sweating abnormalities.
- Further investigation is warranted to confirm the diagnosis and explore treatment options for brainstem meningiomas causing neurological symptoms.

