Sympathectomy/Hidrosis Flashcards
1
Q
Diagnostic criteria
A
Excessive sweating 6+ months
Axillae, palms, soles, +/- face involvement
Bilateral and symmetric
Absent nocturnal sweating
Onset 25y or younger
Positive family history
2
Q
Best candidates for surgery
A
Younger (25 or younger), lower BMI (<28)
3
Q
Which regions of sweating tend to be most satisfied after surgery
A
Isolated palmar
Palmar-axillary
4
Q
Target: facial blushing
A
R2
5
Q
Target: craniofacial
A
R3
6
Q
Target: palmar
A
R3
7
Q
Target: axillary
A
R4+R5
8
Q
Target: palmar + axillary
A
R4+R5
9
Q
Target: palmar + axillary + plantar
A
R4+R5
10
Q
What causes Horner syndrome
A
Avoid stellate ganglion (Horner syndrome).. 40% if done above R2
11
Q
Target: VT
A
Below or bottom half of stellate ganglion to R4 (I think T2-T4)
