Asymmetric sweating in a child with multiple sclerosis.
A 10-year-old male with multiple sclerosis complained of excessive sweating on the right side of the forehead and shoulder on relapse 3 months after the onset of multiple sclerosis. Because the neurologic evaluation revealed no abnormalities in the sudomotor function, it is likely that the hyperhidrosis resulted from a lesion in the central or preganglionic sympathetic nervous system. Magnetic resonance imaging demonstrated a high-intensity lesion involving the left hypothalamus on T(2)-weighted imaging. Thus hypothalamic involvement might be the reason for the hyperhidrosis in this patient.
Ueno
M
M
Department of Pediatrics, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Tokunaga
Y
Y
Terachi
S
S
Gondo
K
K
Hara
T
T
D020434:Abducens Nerve Diseases / Q000209:etiology; D001259:Ataxia / Q000209:etiology; D002648:Child; D003937:Diagnosis, Differential; D004172:Diplopia / Q000209:etiology; D006801:Humans; D006945:Hyperhidrosis / Q000209:etiology* / Q000503:physiopathology; D007031:Hypothalamus / Q000473:pathology* / Q000503:physiopathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D009103:Multiple Sclerosis / Q000150:complications* / Q000503:physiopathology*; D010243:Paralysis / Q000209:etiology