Asymmetrical Autonomic Dysfunction of the Feet After Retroperitoneal Surgery in Patients with Testicular Cancer: 2 Case Reports
- 1 February 1992
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Urology
- Vol. 147 (2), 470-471
- https://doi.org/10.1016/s0022-5347(17)37278-6
Abstract
We report on 2 patients with hyperhidrosis and decreased temperature of the leg on the unoperated side after unilateral retroperitoneal lymph node dissection. Both patients had a 4 to 5C difference in skin temperature of the feet, with the operated side being warm and dry compared to the nonoperated side. This condition is most likely due to a lesion of sympathetic fibers or ganglia located in close proximity to the retroperitoneal lymph nodes, resembling a unilateral lumbar sympathectomy. In addition, both patients had profuse sweating and a subjective feeling of coldness of the leg on the nonoperated side, which caused considerable discomfort. This latter phenomenon most likely represents a compensatory sympathetic hyperfunction due to the decreased sympathetic function in the other leg.Keywords
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