Hyperhidrosis as the presenting symptom in post-traumatic syringomyelia.
Post-traumatic syringomyelia is now a well known entity and occurs months or years after a spinal cord injury. The presenting symptoms are usually pain, progressive motor weakness, sensory changes, and increased spasticity. Profuse sweating or hyperhidrosis can be a symptom of the post-traumatic syrinx or can occur in autonomic dysreflexia provoked by peripheral stimuli. We present two patients with cervical spine fractures whose presenting symptom of post-traumatic syringomyelia was hyperhidrosis affected by posture. The pathophysiology involved and the management of these patients is discussed.
Glasauer
F E
FE
Department of Neurosurgery, State University of New York at Buffalo School of Medicine and Biophysical Sciences.
Czyrny
J J
JJ
D000293:Adolescent; D000328:Adult; D004322:Drainage; D005260:Female; D006801:Humans; D006945:Hyperhidrosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D011187:Posture; D013119:Spinal Cord Injuries / Q000150:complications* / Q000473:pathology; D013595:Syringomyelia / Q000150:complications / Q000175:diagnosis* / Q000601:surgery