BILATERAL THORACOSCOPIC SYMPATHECTOMY

Abstract

INTRODUCTION

Hyperhidrosis is an idiopathic condition characterized by excessive sweating occurring in up to 1% of the population, with an apparent increased prevalence in countries    of the Far East [2]. Hyperhidrosis most commonly occurs spontaneously, or in response to temperature and emotional changes, or as a result of increased sympathetic activity [1]. Secondary causes include central nervous system conditions such as disorders of the hypothalamus or pituitary glands, or chronic diseases such as tuberculosis, lymphoma, diabetes, thyro-toxicosis, or pheochromocytomas. The areas of the body commonly affected in hyperhidrosis in order of frequency include the palms, feet, axilla, head, or face. These symptoms usually begin in childhood or adolescence, often representing an incapa-citating and embarrassing disorder that can interfere with social and professional activities.