Sympathetic skin responses recorded from non-palmar and non-plantar skin sites: their role in the evaluation of thermal sweating
| Autor: | Takenori Uozumi, Yoshiyuki Murai, Sadatoshi Tsuji, Kaoru Matsunaga |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male Sympathetic nervous system Hot Temperature Sympathetic Nervous System Sweating Magnetics Sweat gland Reaction Time Humans Medicine Anhidrosis Adrenoleukodystrophy Sweat test Aged Skin integumentary system medicine.diagnostic_test business.industry General Neuroscience Thromboangiitis Obliterans food and beverages Dysautonomia Galvanic Skin Response Middle Aged Thermoregulation Hand Body Height Electric Stimulation Autonomic nervous system medicine.anatomical_structure Autonomic Nervous System Diseases Anesthesia Reflex Female Neurology (clinical) medicine.symptom business |
| Zdroj: | Electroencephalography and Clinical Neurophysiology/Evoked Potentials Section. 108:482-489 |
| ISSN: | 0168-5597 |
| DOI: | 10.1016/s0168-5597(98)00025-2 |
| Popis: | Objective : To characterize the sympathetic skin responses (SSRs) recorded from non-palmar and non-plantar (non-Pa/Pl) skin sites and to evaluate their clinical usefulness. Methods : SSRs were recorded from 6 non-Pa/Pl sites as well as palmar and plantar (Pa/Pl) sites using magnetic neck stimulation in 33 normal subjects, 17 neurological patients with dysautonomia and one patient with lumbar sympathectomy. A conventional thermoregulatory sweat test (TST) was also carried out in 3 patients. Results : Clear and reproducible SSRs were obtained from all recording sites in all of the normal subjects when the skin temperatures of the subjects were maintained above 34°C and the subjects drank 100–200 ml of hot water. The distribution of absent SSRs was closely correlated with that of anhidrosis or a sweating delay shown by the TST in the patients. Nine of the 17 neurological patients (53%) showed normal responses at Pa/Pl sites, and abnormal responses at non-Pa/Pl sites. Conclusions : Recording SSRs from multiple skin sites including non-Pa/Pl sites after magnetic stimulation is more sensitive in detecting sudomotor dysfunction than is the conventional method of recording SSRs from only Pa/Pl sites. In addition, this new method is very useful for the objective clinical evaluation of thermal sweating. |
| Databáze: | OpenAIRE |
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