Resolution of generalized compensatory hyperhidrosis related to sympathectomy, after T2 sympatholysis

Abstract

Compensatory hyperhidrosis (CH) is common after sympathectomy, and most treatments are ineffective. We present a 36-year-old man whose CH was effectively treated with percutaneous sympatholysis. The patient’s axillary–palmar hyperhidrosis had been treated with T3–4 sympathetic ligation. The patient developed CH involving the head, face, back, torso and feet and was referred for computed tomography–guided percutaneous T2 sympatholysis for craniofacial symptoms, after which the patient experienced resolution of CH (complete face/neck/feet and partial back/torso), despite the treated level being above the previous ligation.