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Relationship between hyperhidrosis and hypothalamic injury in patients with mild traumatic brain injury.
| Content Provider | Europe PMC |
|---|---|
| Author | Jang, Sung Ho Kwon, Hyeok Gyu |
| Copyright Year | 2022 |
| Abstract | Hyperhidrosis is clinical symptom of various diseases and is an important clinical feature of paroxysmal sympathetic hyperactivity (PSH). Traumatic brain injury (TBI) is known to be most common condition associated with PSH, and PSH has been mainly reported in moderate and severe TBI. However, very little has been reported on PSH or hyperhidrosis in mild TBI patients. In this study, we used diffusion tensor imaging (DTI) to investigate the relationship between hyperhidrosis and hypothalamic injury in patients with mild TBI. Seven patients with hyperhidrosis after mild TBI and 21 healthy control subjects were recruited for this study. The Hyperhidrosis Disease Severity Scale was used for evaluation of sweating at the time of DTI scanning. The fractional anisotropy and apparent diffusion coefficient DTI parameters were measured in the hypothalamus. In the patient group, the fractional anisotropy values for both sides of the hypothalamus were significantly lower than those of the control group (P < .05). By contrast, the apparent diffusion coefficient values for both sides of the hypothalamus were significantly higher in the patient group than in the control group (P < .05). In conclusion, we detected hypothalamic injuries in patients who showed hyperhidrosis after mild TBI. Based on the results, it appears that hyperhidrosis in patients with mild TBI is related to hypothalamic injury. |
| ISSN | 00257974 |
| Journal | Medicine |
| Volume Number | 101 |
| PubMed Central reference number | PMC9478253 |
| Issue Number | 37 |
| PubMed reference number | 36123888 |
| e-ISSN | 15365964 |
| DOI | 10.1097/md.0000000000030574 |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2022-09-01 |
| Publisher Place | Hagerstown, MD |
| Access Restriction | Open |
| Rights License | This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. |
| Subject Keyword | diffusion tensor imaging hyperhidrosis hypothalamus mild traumatic brain injury paroxysmal sympathetic hyperactivity |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
