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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Ross syndrome is characterized by a triad of tonic pupil&#44; areflexia and segmental hypohidrosis&#46; Hypohidrosis may be accompanied by contralateral hyperhidrosis&#44; probably due to a compensatory mechanism&#46; We report a case of Ross syndrome with socially disabling left-sided hyperhidrosis&#46; Sympathectomy of the second and third thoracic ganglia was performed with satisfactory results&#46; With excellent results in primary hyperhidrosis and very low morbidity&#44; thoracic sympathectomy is the definitive treatment for hyperhidrosis&#46;</p>"
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Vol. 40. Issue 2.
Pages 97-99 (February 2004)
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Vol. 40. Issue 2.
Pages 97-99 (February 2004)
Case Reports
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Surgical Treatment for Compensatory Hyperhidrosis in Adie Syndrome
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M. Serra Mitjansa,
Corresponding author
30598msm@comb.es

Correspondence: Dra. M. Serra Mitjans. Hospital Mútua de Terrassa. Cirugía Torácica. Pza. Dr. Robert, 5. 08221 Terrassa. Barcelona. España
, M.A. Callejas Pérezb, J. Valls Soléc, R. Grimalt Santacanad, M. Rubio Garayb, M. Iglesias Sentísb
a Servicio de Cirugía Torácica, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain
b Servicio de Cirugía Torácica, Hospital Clínic, Barcelona, Spain
c Servicio de Neurología, Hospital Clínic, Barcelona, Spain
d Servicio de Dermatología, Hospital Clínic, Barcelona, Spain
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Article information

Ross syndrome is characterized by a triad of tonic pupil, areflexia and segmental hypohidrosis. Hypohidrosis may be accompanied by contralateral hyperhidrosis, probably due to a compensatory mechanism. We report a case of Ross syndrome with socially disabling left-sided hyperhidrosis. Sympathectomy of the second and third thoracic ganglia was performed with satisfactory results. With excellent results in primary hyperhidrosis and very low morbidity, thoracic sympathectomy is the definitive treatment for hyperhidrosis.

Key words:
Hyperhidrosis
Adie pupil
Sympathectomy

La tríada consistente en pupila tónica de Adie, arreflexia osteotendinosa e hipohidrosis segmentaria se conoce como síndrome de Ross. La hipohidrosis puede ir acompañada de un exceso de sudación en el hemicuerpo contralateral. Esta hiperhidrosis es probablemente debida a un mecanismo de compensación. En este artículo presentamos el caso de un paciente con síndrome de Ross cuyo motivo de consulta fue hiperhidrosis socialmente incapacitante en el hemicuerpo izquierdo. El paciente fue intervenido quirúrgicamente, realizándose una simpatectomía del segundo y tercer ganglios torácicos con resultados clínicamente satisfactorios. La simpatectomía torácica es un tratamiento definitivo de la hiperhidrosis, con unos resultados excelentes en la hiperhidrosis primaria y un muy bajo índice de morbilidad.

Palabras clave:
Hiperhidrosis
Pupila de Adie
Simpatectomía
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Endoscopic transthoracic sympathectomy in the treatment of hyperhidrosis.
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Copyright © 2004. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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