title: CT-assisted sympathicolysis as an additional minimally invasive therapeutic option in primary focal plantar hyperhidrosis.
abstract: OBJECTIVE
  The purpose of this retrospective study was to evaluate the benefit of lumbar computed tomography-assisted sympathicolysis (CTSy) in patients with primary focal hyperhidrosis of the feet.
  
  
  METHODS
  A lumbar CTSy was conducted on 35 patients (mean age 36.6 ± 11.9 years) with primary focal hyperhidrosis of the feet, who experienced persistent symptoms after all conservative treatment options had been exhausted. The patients evaluated the severity of their symptoms before the intervention, 2 days after the intervention, and 6 and 12 months after the intervention on the basis of a Dermatology Quality of Life Index(©) (DLQI) and side effects experienced.
  
  
  RESULTS
  The interventions performed led to a statistically significant decrease in the preinterventional severity of symptoms 2 days after the intervention, and 6 and 12 months after CTSy (p < 0.05). No major complications occurred. As the most common side effect, 12 of the patients reported compensatory sweating.
  
  
  CONCLUSIONS
  After conservative measures have been exhausted or as a complement to the existing therapy regimen, CT-assisted sympathicolysis represents a therapeutic option low in side effects that provides a marked benefit to patients with primary, focal hyperhidrosis.
authors.affiliation: Institute of Diagnostic and Interventional Radiology/Neuroradiology, Westkuestenklinikum Heide Academic Teaching Hospital of the Universities of Kiel, Luebeck and Hamburg, Esmarchstrasse 50, 25746, Heide, Germany, fscheer@wkk-hei.de.
authors.forename: Fabian
authors.initials: F
authors.lastname: Scheer
authors.forename: Phillip
authors.initials: P
authors.lastname: Wiggermann
authors.forename: Peter
authors.initials: P
authors.lastname: Kamusella
authors.forename: Christian
authors.initials: C
authors.lastname: Wissgott
authors.forename: Reimer
authors.initials: R
authors.lastname: Andresen
mesh_terms: D000328:Adult; D003287:Contrast Media; D005260:Female; D005528:Foot / Q000294:innervation*; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D007479:Iopamidol / Q000031:analogs & derivatives; D008297:Male; D011788:Quality of Life; D015641:Radiography, Interventional; D012189:Retrospective Studies; D013562:Sympathectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media; C057937:iomeprol; D007479:Iopamidol