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Paraplegia. 1994 Jun;32(6):423-9.

Hyperhidrosis as the presenting symptom in post-traumatic syringomyelia.

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Department of Neurosurgery, State University of New York at Buffalo School of Medicine and Biophysical Sciences.


Post-traumatic syringomyelia is now a well known entity and occurs months or years after a spinal cord injury. The presenting symptoms are usually pain, progressive motor weakness, sensory changes, and increased spasticity. Profuse sweating or hyperhidrosis can be a symptom of the post-traumatic syrinx or can occur in autonomic dysreflexia provoked by peripheral stimuli. We present two patients with cervical spine fractures whose presenting symptom of post-traumatic syringomyelia was hyperhidrosis affected by posture. The pathophysiology involved and the management of these patients is discussed.

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