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Segmental hyperhidrosis as a manifestation of spinal and paraspinal disease
1Department of Anesthesia, University of Western Ontario, London, Canada.
Abstract
Background:
Segmental hyperhidrosis is an uncommon finding which is usually associated with irritation or infiltration of pre-ganglionic sympathetic fibres or the sympathetic chain.
Methods:
We report two cases of segmental hyperhidrosis with striking clinical features.
Results:
In one case, a mesothelioma produced ipsilateral simultaneous underactivity and overactivity of sympathetic outflow and in the other case a thoracic central disc herniation was probably responsible for a band of sweating which clearly extended beyond the segmental level of injury.
Conclusion:
Segmental hyperhidrosis should trigger a search for structural disease in the spinal and paraspinal region.