Plendl H, Paulus W, Witt T N
Neurologische Klinik, Klinikum Grosshadern, Universität München.
Dtsch Med Wochenschr. 1992 Oct 9;117(41):1556-60. doi: 10.1055/s-2008-1062477.
A 35-year-old man, previously healthy except for a grade 1 goitre, sustained a spontaneous left pneumothorax treated with a Bülau drain. When the left pneumothorax recurred 2 months later a left thoracotomy was performed. Two bullae at the lung apex were resected and a pleurodesis performed. After the operation the patient noted hypaesthesia of the dorsum of the left upper arm, mild ptosis of the left eyelid as well as reduced sweat secretion over the left half of the face and the left rib cage. The hypaesthesia improved, but the sympathetic nerve deficits remained. There were no other neurological signs. 9 months later, within one minute of eating a sour apple, the patient developed severe sweating over the left half of the face and the left chest. The reaction was confirmed by infra-red thermography which proved that the skin temperature in the sweating region had fallen to 3 degrees C. The likely cause of localized gustatory sweating is intra-operative damage of the stellate ganglion or its preganglionic nerve connections. Treatment is limited to avoidance of the precipitating gustatory stimulus.
一名35岁男性，除1级甲状腺肿外既往身体健康，因自发性左侧气胸接受了布劳引流治疗。2个月后左侧气胸复发，遂行左胸开胸手术。切除了肺尖的两个肺大疱并进行了胸膜固定术。术后患者出现左上臂背部感觉减退、左眼睑轻度下垂以及左半侧面部和左胸廓出汗减少。感觉减退有所改善，但交感神经功能缺损仍存在。无其他神经体征。9个月后，在吃酸苹果1分钟内，患者左半侧面部和左胸部出现大量出汗。红外热成像证实了这一反应，结果显示出汗区域的皮肤温度降至3摄氏度。局部味觉性出汗的可能原因是术中星状神经节或其节前神经连接受损。治疗仅限于避免诱发味觉刺激。
