Department of Neurosurgery, Scott & White Hospital and Texas A & M Health Science Center, Temple, TX 75608, USA.
J Neurol Sci. 2009 Oct 15;285(1-2):246-9. doi: 10.1016/j.jns.2009.06.019. Epub 2009 Jul 17.
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.
我们报告了一例帕金森病患者,其全身湿透的多汗症通过刺激丘脑底核和/或邻近结构得到完全缓解。脉冲发生器(刺激)关闭后 4 小时,出汗再次出现,当刺激恢复时,出汗停止。重建后的影像学研究表明,刺激右侧丘脑底核的尾内侧和/或腹侧丘脑/未定带的尾侧,或刺激从这些部位扩散,可能是缓解多汗症的原因。