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Computed tomography guided thoracic sympatholysis for palmar hyperhidrosis

A Lucas1, Y Rolland, N Journeaux

  • 1Vascular Surgical Department, Hôpital Sud, C.H.R.U. de Rennes, France.

The Journal of Cardiovascular Surgery
|July 25, 1998
PubMed
Summary

Computed tomography (CT)-guided thoracic sympatholysis is an effective treatment for palmar hyperhidrosis, offering good results in 75% of patients. This minimally invasive procedure is recommended when other treatments fail and surgery is considered.

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Area of Science:

  • Neurology
  • Interventional Radiology

Background:

  • Palmar hyperhidrosis is a condition causing excessive sweating in the palms.
  • Medical treatments and iontophoresis are often unsuccessful for palmar hyperhidrosis.

Purpose of the Study:

  • To evaluate the efficacy and safety of computed tomography (CT)-guided thoracic sympatholysis for palmar hyperhidrosis.

Main Methods:

  • Sixteen patients with palmar hyperhidrosis underwent 29 CT-guided thoracic sympatholyses under local anesthesia.
  • Phenolization was performed at the T3 level after opacification with Iopamiron 200.

Main Results:

  • Immediate good results were achieved in 80% of procedures (23 cases).
  • At 20 months, 75% of patients (22 cases) showed sustained good results based on objective and subjective evaluations.

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  • The procedure demonstrated low morbidity and short hospital stays.

    • Conclusions:

    • CT-guided thoracic sympatholysis is an effective treatment for palmar hyperhidrosis.
    • It is recommended as a first-line procedure when surgical intervention is indicated for palmar hyperhidrosis.