An upper thoracic spinal cord tumor presenting as hemifacial hyperhidrosis
Küçük Resim Yok
Tarih
2007
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Science Inc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background: Hyperhidrosis as the sole presenting symptom of an upper thoracic intramedullary tumor has never been reported in the English literature. Case Description: A 17-year-old boy presented with a long history of hemifacial flushing and hyperhidrosis on the left side of his face and neck. The MRI revealed a large spinal cord tumor at the T1-T2 levels. The patient underwent total excision of the intramedullary tumor via a posterior myelotomy. The histopathological diagnosis was low-grade astrocytoma. The symptoms resolved immediately after the surgery and did not return during the follow-up period of 9 months. Conclusions: We suggest that sympathetic irritation on the left side is the mechanism behind this clinical presentation. Its unusual presentation and lack of motor and sensory deficits resulted in delayed diagnosis of this potentially disabling lesion. When autonomic dysfunction of the face and neck is encountered, in addition to the cranial and cervical regions, the upper thoracic levels should be investigated using MRI. (C) 2007 Elsevier Inc. All rights reserved.
Açıklama
Anahtar Kelimeler
Horner Syndrome, Hyperhidrosis, Spinal Cord, Spinal Cord Neoplasms, Sympathetic Nervous Systems, Harlequin-Syndrome
Kaynak
Surgical Neurology
WoS Q Değeri
Q3
Scopus Q Değeri
N/A
Cilt
68
Sayı
4
