Alleviation of drenching sweats following subthalamic deep brain stimulation in a patient with Parkinson's disease--a case report.
We report a patient with Parkinson's disease whose whole body drenching sweats were completely alleviated by stimulation of the subthalamic nucleus and/or adjacent structures. Sweating reappeared 4h after the pulse generator (stimulation) was turned off and ceased when stimulation was resumed. Imaging studies with reconstruction indicated that stimulation of, or spread of stimulation from, the caudal medial aspect of the right subthalamic nucleus and/or the caudal aspect of the ventral thalamus/zona incerta may be responsible for alleviating the drenching sweats.
Sanghera
M K
MK
Department of Neurosurgery, Scott & White Hospital and Texas A & M Health Science Center, Temple, TX 75608, USA. msanghera@swmail.sw.org
Ward
C
C
Stewart
R M
RM
Mewes
K
K
Simpson
R K
RK
Lai
E C
EC
D046690:Deep Brain Stimulation; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009069:Movement Disorders / Q000503:physiopathology / Q000601:surgery / Q000628:therapy; D010300:Parkinson Disease / Q000503:physiopathology* / Q000601:surgery / Q000628:therapy*; D020531:Subthalamic Nucleus / Q000473:pathology / Q000503:physiopathology*; D013546:Sweating / Q000502:physiology*; D013788:Thalamus / Q000473:pathology / Q000503:physiopathology; D013997:Time Factors; D016896:Treatment Outcome