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



Ibrahim KALEEL1, Ayoub HAMBLI1 and Abdel Salam KALEEL1*

1 Department of Neurology, Grand River Hospital, McMaster University/Michael De Groote School of Medicine, Kitchener/Waterloo, Ontario, Canada.

*Corresponding Author: Abdel Salam Kaleel, Department of Neurology, Grand River Hospital, McMaster University/Michael De Groote School of Medicine, Kitchener/Waterloo, Ontario, Canada.

DOI: https://doi.org/10.58624/SVOANE.2024.05.0143

Received: July 01, 2024     Published: July 11, 2024

 

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.

Keywords: Hyperhidrosis; Stroke; Insular cortex

Citation: Kaleel I, Hambli A, Kaleel AS. Contralateral Hyperhidrosis After Large Acute Left MCA Territory Infarction: A Case Report. SVOA Neurology 2024, 5:4, 154-156. doi: 10.58624/SVOANE.2024.05.0143