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大脑损害导致单侧多汗症仍是一个未被广泛认识的不常见临床表现,本文报告6例患者于脑梗塞后出现该现象.病例1,56岁男性,左侧忽略(neglect)和同侧偏盲,轻度右侧凝视(gaze preference),左面和上、下肢轻度无力.4天后病情恶化.瞳孔左稍大于右,继之发生共轭不良性凝视(dysconjugate gaze).CT扫描示右大脑中动脉(MCA)梗塞.翌日见左侧面部单侧多汗,大量汗珠不断从额、鼻和眶部滴落,而右面部、颈、躯干及四肢无汗出,无睑下垂,体温101°F.24小时后多汗消失,2月后出汗和瞳孔对称.病例2,65岁男性,完全失语,右同侧偏盲,轻度右侧瘫,右面部明显单侧多汗,无睑下垂或瞳孔不等大,无发热.CT示左岛盖额部梗塞,一年后出汗和瞳孔对称.病例3,38岁男性,左侧视忽视,
Brain damage leading to unilateral hyperhidrosis is still an uncommonly recognized and uncommon clinical manifestation of this phenomenon reported in 6 cases of patients after cerebral infarction.A case of 1,5-year-old male left neglect (neglect) and ipsilateral Hemifacial, mild gaze preference, left and upper and lower extremity mildly weakness .4 days later, the condition deteriorated, pupil left slightly greater than right, followed by dysconjugate gaze .CT scan showed the right brain Arterial (MCA) infarction. The next day see the left side of one side of the face sweating, a large number of persimmons continue to drip from the forehead, nose and orbit, while the right facial, neck, trunk and limbs without sweating, no ptosis, body temperature 101 ° F.24 hours after the disappearance of hyperhidrosis, sweating and pupil symmetry after February. Case 2,65-year-old male, completely aphasia, right ipsilateral hemianopia, mild right paralysis, right side of the obvious unilateral sweating, ptosis Or pupil unequal, no fever.CT showed left island forehead infarction, after a year of sweating and pupil symmetry.A case of 3,38-year-old male, the left side of the neglect,