Lumbar Sympathetic Radiofrequency Neurotomy in Plantar Hyperhidrosis.

Kim, Seok Won

Original Article

Journal of Korean Neurosurgical Society 2007;41(1): 27-29.

Department of Neurosurgery, School of Medicine, Chosun University, Gwangju, Korea. chosunns@hanmail.net

ABSTRACT

OBJECTIVE
Surgical treatment of focal plantar hyperhidrosis is often unsatisfactory compared to palmar hyperhidrosis. The purpose of this study is to evaluate the effect of lumbar sympathetic radiofrequency neurotomy on plantar hyperhidrosis.
METHODS
From February 2004 to December 2005, 10 patients (mean age 24.3 male 1, female 9) with the clinical diagnosis of plantar hyperhidrosis were treated by bilateral lumbar sympathetic radiofrequency neurotomy of L3 and L4. Patients' symptom relief, satisfactory rate and side effects related to the procedure were analyzed.
RESULTS
Radiofrequency neurotomy was effective in the treatment of focal plantar hyperhidrosis showing excellent (more than 75% improved) outcome in 70% of the patients and good (more than 50% improved) in 30%. Complications related to the surgical procedure, such as sensory dysesthesia and compensatory hyperhidrosis were not detected in any case.
CONCLUSION
The use of radiofrequency neurotomy to ablate the lumbar sympathetic ganglion is a safe and effective treatment option for patients with plantar hyperhidrosis.

Key Words: Plantar hyperhidrosis; Lumbar sympathetic radiofrequency neurotomy