Paroxysmal localized Hyperhidrosis, a case-report: When excessive sweating occurs in combination with severe headaches

Cephalalgia ◽  
2021 ◽  
pp. 033310242110068
Author(s):  
Marleen H van Coevorden ◽  
Mariëtte WCJ Schoofs ◽  
Jeroen Venhovens
Keyword(s):  
Nervous System ◽  
Case Report ◽  
Autonomic Nervous System ◽  
Diagnostic Testing ◽  
Abdominal Ultrasound ◽  
Severe Headache ◽  
Excessive Sweating ◽  
Autonomic Nervous ◽  
Underlying Disorder ◽  
System Disorder

Background Paroxysmal localized hyperhidrosis is a rare disorder of the central autonomic nervous system. No association between paroxysmal hyperhidrosis and severe headache has been previously described in literature. Case description: A 65-year-old woman with idiopathic paroxysmal localized hyperhidrosis combined with severe holocranial headache attacks is described in this case report. Extensive diagnostic testing by means of laboratory examinations, 24-hour urinalyses, chest X-ray, abdominal ultrasound and computed tomography scans, and brain and spinal cord magnetic resonance imaging could not identify an underlying disorder. A diagnosis of idiopathic paroxysmal localized hyperhidrosis was made, and the patient was successfully treated with clonidine 0.075 mg three times a day, without any side effects. Conclusion Paroxysmal localized hyperhidrosis is a rare central autonomic nervous system disorder that can occur in combination with severe headache. Both the headache and paroxysmal hyperhidrosis complaints were treated effectively with clonidine in the patient described in this case-report.

scholarly journals Autonomic Nervous System Disorder Due to Exposure RF Jamming

2020 ◽  
Vol 18 (2) ◽  
pp. 124-132
Author(s):  
Ibrahim T Ibrahim ◽  
◽  
Suad M Al-Deen ◽  
Ajial S Hassan
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
Nervous System Disorder ◽  
Autonomic Nervous ◽  
System Disorder

PAROXYSMAL HYPERTENSION SIMULATING PHEOCHROMOCYTOMA

PEDIATRICS ◽  
1951 ◽  
Vol 8 (5) ◽  
pp. 664-671
Author(s):  
NATALIE ARONSON ◽  
GERTRUDE S. STERN ◽  
SIDNEY Q. COHLAN
Keyword(s):  
Blood Pressure ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Signs And Symptoms ◽  
Exploratory Laparotomy ◽  
Excessive Sweating ◽  
Autonomic Nervous ◽  
Therapeutic Value ◽  
Paroxysmal Hypertension

An eight year old child with intermittent attacks of hypertension and vomiting has been described, The blood pressure fell dramatically in response to Benzodioxane®, suggesting the presence of a pheochromocytoma, but this tumor was not found after an extensive exploratory laparotomy. The episodes of hypertension and vomiting together with the associated findings in this child of crying without tears, frequent blotching of the skin and excessive sweating and salivating are considered to be indications of an unusually labile autonomic nervous system. These latter characteristics were present in a younger sibling who also had an extremely labile blood pressure but who did not exhibit periodic attacks of hypertension and vomiting. A variety of agents were studied for their effects on the patient's signs and symptoms but none of these were demonstrated to have any therapeutic value.

scholarly journals Temporary Diplopia After Gow-Gates Injection: Case Report and Review

2016 ◽  
Vol 63 (3) ◽  
pp. 139-146 ◽  
Author(s):  
Bernadette Alvear Fa ◽  
Steven R. Speaker ◽  
Alan W. Budenz
Keyword(s):  
Nervous System ◽  
Case Report ◽  
Autonomic Nervous System ◽  
Intravenous Injection ◽  
Local Anesthetic ◽  
Case Reports ◽  
Anesthetic Techniques ◽  
Double Vision ◽  
Current Case ◽  
Autonomic Nervous

Complications associated with various local anesthetic techniques have been recorded in case reports and reviews. This current case reports a transient incident of blurred, double vision (diplopia) following a Gow-Gates mandibular block injection. There is descriptive discussion on possibilities associated with intra-arterial injection, intravenous injection, diffusion through tissue planes, and the autonomic nervous system pathway to lend credence suggesting the etiology of the complication. For practitioners, recognizing when a complication arises from anesthesia delivery and managing the patient in an appropriate manner is essential to an overall agreeable outcome.

scholarly journals Retroperitoneal Paraganglioma Presenting as a Chest Pain: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Parag Brahmbhatt ◽  
Pranav Patel ◽  
Atif Saleem ◽  
Rathi Narayan ◽  
Mark Young
Keyword(s):  
Nervous System ◽  
Case Report ◽  
Autonomic Nervous System ◽  
Chest Pain ◽  
Definitive Diagnosis ◽  
Neuroendocrine Cells ◽  
Autonomic Nervous ◽  
Rare Tumors

Paragangliomas are very rare tumors derived from neuroendocrine cells of autonomic nervous system. Extra-adrenal paragangliomas account for only 10 to 15% of all paragangliomas and may present incidentally as a mass. Typical triad of fluctuating hypertension, headache, and sweating is not always present which makes the diagnosis difficult sometimes. Definitive diagnosis is usually made with histologic findings and surgery is the treatment of choice. We report a case of a 53-year-old male who presented with chest pain and vomiting.

scholarly journals Incidentally discovered pelvic paraganglioma: A case report

2017 ◽  
Vol 89 (4) ◽  
pp. 319
Author(s):  
Vittorio Imperatore ◽  
Massimiliano Creta ◽  
Sergio Di Meo ◽  
Roberto Buonopane ◽  
Lorenzo Spirito ◽  
...  
Keyword(s):  
Nervous System ◽  
Case Report ◽  
Autonomic Nervous System ◽  
Neuroendocrine Tumors ◽  
Male Subject ◽  
Diagnostic Dilemma ◽  
Autonomic Nervous

Paragangliomas (PGL) are rare neuroendocrine tumors of the autonomic nervous system originating from paraganglia. Although PGL may arise at any site where physiologic paraganglionic tissue exists, the localization in the small pelvis is extremely rare. PGL may be hormonally active and release surplus catecholamines into the blood or inactive. The asymptomatic cases pose a diagnostic dilemma. We describe the case of an asymptomatic PGL arising in the small pelvis sidewall presenting as an incidentally discovered asymptomatic mass in a male subject.

Gravity-induced exercise intervention in an individual with chronic fatigue syndrome/myalgic encephalomyeltis and postural tachycardia syndrome: a case report

2019 ◽  
Vol 26 (5) ◽  
pp. 1-13 ◽  
Author(s):  
Robert Ballantine ◽  
Victoria Strassheim ◽  
Julia Newton
Keyword(s):  
Nervous System ◽  
Case Report ◽  
Autonomic Nervous System ◽  
Chronic Fatigue Syndrome ◽  
Exercise Intervention ◽  
Chronic Fatigue ◽  
Postural Tachycardia Syndrome ◽  
Autonomic Nervous ◽  
Fatigue Syndrome ◽  
Postural Tachycardia

Background/Aims Chronic fatigue syndrome/myalgic encephalomyeltis is a condition of complex nature, characterised by unexplained disabling fatigue and a combination of non-specific accompanying symptoms. Individuals with chronic fatigue syndrome/myalgic encephalomyeltis frequently present with debilitating orthostatic symptoms, which may fall under the umbrella of postural tachycardia syndrome. Postural tachycardia syndrome is underpinned by autonomic nervous system dysfunction. The gravitational deconditioning that occurs in those severely affected by chronic fatigue syndrome/myalgic encephalomyeltis alongside postural tachycardia syndrome has been suggested as a key focus for interventions in this group. This case report documents the evaluation and rationale behind a novel gravity-induced exercise intervention to improve the symptoms of a 44-year-old female severely affected by chronic fatigue syndrome/myalgic encephalomyeltis and postural tachycardia syndrome, who had been bedbound for 10–15 years. Methods An exercise intervention was designed to challenge and therefore improve key areas of autonomic nervous system regulation in the presence of gravity. It contained seven different exercises conducted once a month in a class over a 6-month period. Results Fatigue impact score, activity levels and heart rate upon standing, as detected by an active stand test, improved during the exercise intervention and at follow up. Conclusions Gravity-induced exercise intervention can have a positive effect on an individual severely affected by Chronic fatigue syndrome/myalgic encephalomyeltis alongside postural tachycardia syndrome.

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