Kopelman D, Hashmonai M, Assalia A, Bahous H
Department of Surgery B, The Rambam Medical Center, and the Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Cardiovasc Surg. 1998 Feb;6(1):94-6. doi: 10.1016/s0967-2109(97)00095-1.
Two cases of primary palmar hyperhidrosis are presented. T2-T3 sympathetic ganglionectomy of the affected side completely alleviated perspiration of the palms, but oversweating of the contralateral palms appeared a few weeks later. A similar sympathetic ganglionectomy of the second side, 1 month and 1 year later, resulted in renewed oversweating of the palm on the first operated side within 3 months of the second operation. During the same period, 127 other patients with primary palmar hyperhidrosis underwent a bilateral upper dorsal sympathectomy, though the condition did not recur in any of these patients. The possible mechanism(s) of why overperspiration of the second hand developed after the first sympathectomy in these two patients, and why it recurred in the first hand after the second operation are examined, but remain obscure.
本文报告了2例原发性手掌多汗症病例。患侧T2 - T3交感神经节切除术完全缓解了手掌出汗，但几周后对侧手掌出现多汗。分别在1个月和1年后对另一侧进行类似的交感神经节切除术，结果在第二次手术后3个月内，首次手术一侧的手掌再次出现多汗。同期，另外127例原发性手掌多汗症患者接受了双侧上背部交感神经切除术，这些患者均未复发。对这2例患者在第一次交感神经切除术后为何出现对侧手多汗，以及第二次手术后患侧手为何复发多汗的可能机制进行了研究，但仍不清楚。
