Stratified analysis of clinical outcomes in ... [Ann Thorac Surg. 2008] - PubMed - NCBI

"Significant compensatory sweating in relation to the level(s) of sympathetic chain division occurred in T2 alone, 45%; T2 to T3, 30%; T3 to T4, 14%; T2 to T4, 38%; and more than three levels, 49%"



Ann Thorac Surg. 2008 Feb;85(2):390-3;

http://www.ncbi.nlm.nih.gov/pubmed/18222231

Surprisingly, many patients experienced mild recurrent symptoms within the first year

Sympathicotomy for isolated facial blushing:... [Ann Thorac Surg. 2012] - PubMed - NCBI: "Mild recurrence of facial blushing occurred in 30% of patients within the first year. One patient experienced Horner's syndrome. Compensatory sweating occurred in 93% of patients, gustatory sweating 36%, and dry hands in 66%; 13% of patients regretted the operation despite thorough preoperative selection and information."

Patients who undergo sympathotomy for hyperhidrosis will commonly report "clinically bothersome" compensatory hyperhidrosis.

J Thorac Cardiovasc Surg. 2014 Apr;147(4):1160-1163.e1. doi: 10.1016/j.jtcvs.2013.12.016. Epub 2014 Jan 2.

"The custom of a majority is no guarantee of safety and is seldom a guide to best medical practice." in Legal Forum

"The custom of a majority is no guarantee of safety and is seldom a guide to best medical practice." in Legal Forum: "Cameron`s claim that there has been only one death attributable to synchronous bilateral thoracoscopic sympathectomy is implausible. Surgeons and anaesthetists are reticent in publicizing such events and Civil Law Reports of settled cases are an inadequate measure of the current running total. The custom of a majority is no guarantee of safety and is seldom a guide to best medical practice.

Jack Collin,
Consultant Surgeon
Oxford

http://www.bmj.com/content/320/7244/1221?tab=responses

Peripheral neuropathy gives reduced sensation and sweat ability of the arms and legs but can lead to compensatory sweating of the trunk and head.

Google Translate:

Peripheral neuropathy gives reduced sensation and sweat ability of the arms and legs but can lead to compensatory sweating of the trunk and head.

Horner's syndrome due sympatikusskada means, for example Anhidrosis on one half of the face which can then be followed by compensatory hyperhidrosis on the other side. Harlequin syndrome is another name in the same condition in which instead focuses on the color difference where the sympatikusskadade page turns white and the other side is red with exertion. The look can then recall a home to Harelquin.

Freys'syndrom arise after salivary gland surgery faulty growing parasympathetic salivary fibers innervate the sweat glands in the cheek. This means that when the patient eats or even just thinking about food so producing a profuse perspiration from his cheek

Sympathectomy was common in the 90s in Sweden. At indications palmar and axillary hyperhidrosis, redness, or social phobia, burned the thoracic sympathetic ganglia endoscopically. Compensatory hyperhidrosis developed below the nipples of a large number of patients 1-6 months after sympatektomin.

This is the first study to examine post-SE (post-sympathectomy) dysfunction objectively

This is the first study to examine post-SE dysfunction objectively using TG after ALIF and XLIF, and the first to evaluate clinically, the severity of the post-SE syndrome. Before surgery we cannot foresee potentially poor SE results. For this reason, injury to the sympathetic chain during surgery must be avoided. The advantage of TG for identifying SE is its non-invasiveness and reliability.

The aim of this study was to identify retrospectively, lumbar sympathectomy (SE) using thermography (TG) and to evaluate clinically, the severity of post-sympathectomy (post-SE) dysfunction after anterior and lateral lumbar interbody fusion procedures (ALIF, XLIF).
http://www.ncbi.nlm.nih.gov/pubmed/24263213