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NEUROIMAGE
Year : 2022  |  Volume : 70  |  Issue : 4  |  Page : 1748-1749

The Half-Hot Man


Department of Neurology, The First Affiliated Hospital of Southern University of Science and Technology, The Second Clinical Medical College of Jinan University, Shenzhen People's Hospital, Shenzhen, China

Date of Submission18-Mar-2020
Date of Decision18-Jul-2020
Date of Acceptance12-Dec-2021
Date of Web Publication30-Aug-2022

Correspondence Address:
Ying Huang
1017 Dongmen North Road, Luohu District, Shenzhen 518020
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.355115

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How to cite this article:
Xu Q, Huang Y. The Half-Hot Man. Neurol India 2022;70:1748-9

How to cite this URL:
Xu Q, Huang Y. The Half-Hot Man. Neurol India [serial online] 2022 [cited 2022 Oct 7];70:1748-9. Available from: https://www.neurologyindia.com/text.asp?2022/70/4/1748/355115




A 53-year-old man presented with acute onset of dizziness and titubation. He had a history of a slight head collision against the wall before admission. At hospitalization, he complained of drooping of his right upper eyelid, a hot sensation, and decreased sweating on the right side of his hemiface. Asymmetry of bilateral body temperature was also appeared. Neurologic examination revealed nystagmus. Miosis and ptosis were observed on the ipsilateral side. Sensation was impaired to temperature and light touch along the right side of his face and the left side of his body. Right-sided extremity ataxia was found. Hypohidrosis and fervescence was noted along the right side of his hemiface. Brain magnetic resonance imaging (MRI) revealed acute infarcts in the right lateral medulla due to vertebral artery dissection [Figure 1]. Infrared thermography images revealed a bilateral discrepancy in body surface temperature [Figure 2]. An increased body temperature was showed in the right side of his eye, mouth, neck, trunk, and limb, looking like a half-hot man. This symptom is thought to result from an infarction-induced disturbance of the descending sympathetic nerve tract, leading to an increased cutaneous blood flow and ipsilateral hypohidrosis.[1],[2]
Figure 1: High-resolution MRI and magnetic resonance angiography of the brain. Diffusion-weighted image (a) shows an acute infarction of the right lateral medulla. Magnetic resonance angiography (b) shows a long stenosis (white arrows) of the right vertebral artery. Three-dimensional space T1-weighted MRI of vertebral artery (c, d) reveals the high signals (arrowhead) of intramural hematoma indicating the diagnosis of dissection

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Figure 2: Infrared thermogram findings. Infrared thermogram images exhibit the bilateral discrepancy in body temperature (in °C). An increased temperature is showed in the right side of the body, looking like a half-hot man

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Science and Technology Innovation Committee Project of Shenzhen (item number: JCYJ20170306160036900) and San Ming Cultivating Funding Project of Shenzhen People s Hospital (item number: SYLY201907).

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Korpelainen JT, Sotaniemi KA, Myllylä VV. Asymmetrical skin temperature in ischemic stroke. Stroke 1995;26:1543-7.  Back to cited text no. 1
    
2.
Korpelainen JT, Sotaniemi KA, Myllylä VV. Asymmetric sweating in stroke: A prospective quantitative study of patients with hemispheral brain infarction. Neurology 1993;43:1211-4.  Back to cited text no. 2
    


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