CT-Assisted Sympathicolysis as an Additional Minimally Invasive Therapeutic Option in Primary Focal Plantar Hyperhidrosis

Scheer, Fabian and Wiggermann, Phillip and Kamusella, Peter and Wissgott, Christian and Andresen, Reimer (2014) CT-Assisted Sympathicolysis as an Additional Minimally Invasive Therapeutic Option in Primary Focal Plantar Hyperhidrosis. CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 37 (6). pp. 1554-1558. ISSN 0174-1551, 1432-086X

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Abstract

The purpose of this retrospective study was to evaluate the benefit of lumbar computed tomography-assisted sympathicolysis (CTSy) in patients with primary focal hyperhidrosis of the feet. A lumbar CTSy was conducted on 35 patients (mean age 36.6 +/- A 11.9 years) with primary focal hyperhidrosis of the feet, who experienced persistent symptoms after all conservative treatment options had been exhausted. The patients evaluated the severity of their symptoms before the intervention, 2 days after the intervention, and 6 and 12 months after the intervention on the basis of a Dermatology Quality of Life Index(A (c)) (DLQI) and side effects experienced. The interventions performed led to a statistically significant decrease in the preinterventional severity of symptoms 2 days after the intervention, and 6 and 12 months after CTSy (p < 0.05). No major complications occurred. As the most common side effect, 12 of the patients reported compensatory sweating. After conservative measures have been exhausted or as a complement to the existing therapy regimen, CT-assisted sympathicolysis represents a therapeutic option low in side effects that provides a marked benefit to patients with primary, focal hyperhidrosis.

Item Type: Article
Uncontrolled Keywords: PERIPHERAL ARTERY-DISEASE; THORACOSCOPIC SYMPATHICOLYSIS; SYMPATHETIC BLOCK; BOTULINUM TOXIN; PAIN SYNDROMES; DENERVATION; MANAGEMENT; TERM; Non-vascular interventions; CT/CTA; Spine/ nervous system
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Strahlentherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 07 Aug 2019 09:43
Last Modified: 07 Aug 2019 09:43
URI: https://pred.uni-regensburg.de/id/eprint/9156

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