• R Shane Tubbs, Elizabeth C Tyler-Kabara, and W Jerry Oakes.
• Department of Cell Biology, University of Alabama at Birmingham, Birmingham, AL, USA. rstubbs@uab.edu
• Childs Nerv Syst. 2006 Jul 1; 22 (7): 737-9.

IntroductionParoxysmal unilateral cephalic hyperhidrosis is a rare disorder of the autonomic nervous system.Case ReportWe report an adult male who developed this disorder almost 20 years after posterior fossa decompression for Chiari I malformation with syringomyelia as a child. Further, the patient presented with spastic diplegia. To date, this patient has refused further operative intervention. The medical literature is reviewed regarding this unusual phenomenon.ConclusionTo our knowledge, hyperhidrosis of the occiput has not been previously reported in a patient with Chiari I malformation with an associated syringomyelia.

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