Contralateral Hyperhidrosis After Large Acute Left MCA Territory Infarction: A Case Report

Ibrahim Kaleel, Ayoub Hambli, Abdel Salam Kaleel
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Abstract

A 51-year-old female presented with sudden onset of right-sided hemiparesis and aphasia. Imaging confirmed a left middle cerebral artery (MCA) territory infarct affecting the insular cortex. During her recovery, she developed excessive sweating exclusively on the right side of her body, leading to a diagnosis of contralateral hyperhidrosis. This case highlights the unusual presentation of hyperhidrosis following an MCA stroke and underscores the role of the insular cortex in autonomic regulation.
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急性左侧 MCA 大面积梗死后的对侧多汗症:病例报告
一名 51 岁的女性突然出现右侧偏瘫和失语。影像学检查确诊为左侧大脑中动脉(MCA)区域梗塞,影响到岛叶皮层。在康复期间,她出现了身体右侧多汗的症状,因此被诊断为对侧多汗症。该病例突出了多汗症在 MCA 中风后的不寻常表现,并强调了岛叶皮质在自主神经调节中的作用。
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