Korean J Pain.  2005 Jun;18(1):92-95. 10.3344/kjp.2005.18.1.92.

Lumbar Sympathetic Radiofrequency Thermocoagulation Using Bipolar Probe in the Hyperhidrosis Patient: A case report

• Lee JH
• Kim DW
• Sim WS

• KMID: 2277969
• DOI: http://doi.org/10.3344/kjp.2005.18.1.92

Abstract

Primary hyperhidrosis, a disorder of unknown etiology, is characterized by excessive uncontrollable sweating, most often of the palm surface of the hands, armpits, groin and feet. To decrease the symptoms of hyperhidrosis, drug therapy, iontophoresis, excision of axillary sweat glands and thoracoscopic sympathectomy have been attempted. A lumbar sympathectomy is one of the available choices for the treatment hyperhidrosis of the lower extremities. A 28-year old female patient presented with excessive sweating of her hands and feet. For the treatment of her foot hyperhidrosis, a bipolar radiofrequency ablation system was used to ablate the lumbar sympathetic ganglion, with a successful result. This modality will receive greater attention as an available alternative to lumbar sympathetic neurolysis.

Keyword

bipolar radiofrequency; hyperhidrosis; lumbar sympathectomy

MeSH Terms

Adult
Catheter Ablation
Drug Therapy
Electrocoagulation*
Female
Foot
Ganglia, Sympathetic
Groin
Hand
Humans
Hyperhidrosis*
Iontophoresis
Lower Extremity
Sweat
Sweat Glands
Sweating
Sympathectomy