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

Abstract

IntroductionUnilateral hyperhidrosis can be a neurological manifestation of irritations of the central or peripheral nervous system.Case presentationWe present the case of a 67-year-old German man who had hyperhidrosis of his right upper body quadrant (including face, arm, and chest) following intrathoracic surgery of a left-sided pleural lipoma.ConclusionAn isolated unilateral hyperhidrosis might occur after intrathoracic surgery. Besides anticholinergic drugs the use of botulinum toxin should be considered.

An unusual case of excessive sweating affecting the right upper limb after bilateral endoscopic thoracic sympathectomy for primary palmar hyperhidrosis: recurrence or compensatory hyperhidrosis?

“…In our opinion, our case probably represents an unusual onset of compensatory HH caused by the particular anatomy of the patient's sympathetic system and involving the area affected prior to the surgery for HH. This would help explain the unilaterality of clinical manifestations, in accordance with previous reports describing similar phenomena [14].…”

Hemifacial Hyperhidrosis in a Patient With an Apical Non–Small Cell Lung Cancer

“…Hyperhidrosis caused by a comorbid condition, also known as secondary hyperhidrosis, has been the focus of about 3 dozen case reports over the past 70 years. 3 Most commonly, these findings have been reported in the context of mesothelioma, 4,5 often affecting multiple dermatomes and usually involving the thorax. 4,6 Symptoms are typically reported as occurring ipsilateral to the tumor 7 ; however, contralateral dysfunction has also been described.…”

“…10 Radiation therapy has been reported to be successful in abating symptoms in some patients. 3,8 Interestingly, in mesothelioma, hyperhidrosis has been proposed to be a prognostic indicator, suggesting poor outcomes in patients with this complaint. 8 The patient presented here was diagnosed with a stage IV, T4N3M1c adenocarcinoma of the left upper lobe of the lung metastatic to the liver.…”

Ipsilateral Facial Hyperhidrosis in a Patient With Squamous Cell Carcinoma of the Lung

“…At the time of presentation, the patient was at rest in a cool room when perspiration was noted. Radiotherapy has been used in some cases for symptom relief with varying degrees of success; however, the patient did not receive any treatment specifically for his hyperhidrosis and did not appear to adversely affect his quality of life [ 7 , 8 ].…”