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Compensatory quadrant-hyperhidrosis after contralateral intrathoracic surgery: a case report

Stefan Brodoehl*, Otto Wilhelm Witte and Albrecht Guenther

Author Affiliations

Hans Berger Department of Neurology, Jena University Hospital, Erlanger Allee 101, D 07747, Jena, Germany

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Journal of Medical Case Reports 2013, 7:24  doi:10.1186/1752-1947-7-24

Published: 18 January 2013



Unilateral hyperhidrosis can be a neurological manifestation of irritations of the central or peripheral nervous system.

Case presentation

We present the case of a 67-year-old German man who had hyperhidrosis of his right upper body quadrant (including face, arm, and chest) following intrathoracic surgery of a left-sided pleural lipoma.


An isolated unilateral hyperhidrosis might occur after intrathoracic surgery. Besides anticholinergic drugs the use of botulinum toxin should be considered.

Botulinum toxin; Intrathoracic surgery; Unilateral hyperhidrosis