Resolution of Postural Orthostatic Tachycardia Syndrome After CT-Guided, Percutaneous T2 Ethanol Ablation for Hyperhidrosis

Journal Article · Thu Dec 15 04:00:00 UTC 2016 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-016-1455-6· OSTI ID:22642432

Brock, Malcolm ^[1]; Ober, Cecily ^[2]; Georgiades, Christos ^[3]

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1. Johns Hopkins University, Department of Thoracic Surgery, Center for Sweat Disorders (United States)
2. Johns Hopkins University, Department of Thoracic Surgery (United States)
3. Johns Hopkins University, Vascular & Interventional Radiology (United States)

Postural orthostatic tachycardia syndrome is characterized by orthostatic intolerance. Orthostasis (or other mild physical stress) triggers a cascade of inappropriate tachycardia, lightheadedness, palpitations, and often fainting. The underlying defect is sympathetic dysregulation of the heart, which receives its sympathetic tone from the cervical and upper thoracic sympathetic ganglia. Primary hyperhidrosis is also thought to be the result of sympathetic dysregulation. We present the case of a patient treated with CT-guided, percutaneous T2 EtOH sympatholysis for craniofacial hyperhidrosis. The patient also suffered from postural orthostatic tachycardia syndrome for many years and was unresponsive to treatment. Immediately after sympatholysis, the patient experienced resolution of both craniofacial hyperhidrosis and postural orthostatic tachycardia syndrome.

• OSTI ID: 22642432
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 12 Vol. 39; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ABLATION
COMPUTERIZED TOMOGRAPHY
DEFECTS
ETHANOL
FLOW STRESS
HEART
PATIENTS
RESOLUTION
VASCULAR DISEASES