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Primary hyperhidrosis is a condition characterized by excessive and uncontrollable sweating (1,2). Surgical sympathet ic blockades such as sympathotomy or sympathicotomy have been accepted as the most effective treatment option for severe hyperhidrosis when medical treatment fails (3,4). However, postoperative compensatory hyperhidrosis is a challenging complication that can cause patients to regret undergoing surgery and lead to a surgeon’s reluctance to choose surgery as the first treatment option for primary hyperhidrosis, especially craniofacial hyperhidrosis (1,3). Compensatory hyperhidrosis most commonly affects the trunk after sympathetic blockades (5,6). Herein, we present a rare case of a successful sympathotomy for severe compensatory hyperhidrosis in the trunk caused by traumatic cervical spinal cord injury.

Sympathotomy for severe compensatory hyperhidrosis in the trunk due to traumatic cervical spinal cord injury