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|Year : 2022 | Volume
| Issue : 4 | Page : 1748-1749
The Half-Hot Man
Qianhui Xu, Ying Huang
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 Submission||18-Mar-2020|
|Date of Decision||18-Jul-2020|
|Date of Acceptance||12-Dec-2021|
|Date of Web Publication||30-Aug-2022|
1017 Dongmen North Road, Luohu District, Shenzhen 518020
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Xu Q, Huang Y. The Half-Hot Man. Neurol India 2022;70:1748-9
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.,
|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|| |
Korpelainen JT, Sotaniemi KA, Myllylä VV. Asymmetrical skin temperature in ischemic stroke. Stroke 1995;26:1543-7.
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.
[Figure 1], [Figure 2]