Man's excessive sweating episodes linked to undetected seizures

The unidentified 60-year-old man had recorded minutes-long periods of heavy sweating each month and was diagnosed with hyperhidrosis, but nobody could figure out how to treat it. (iStock)

The curious case of a man’s excessive sweating problem was finally solved after three years when he suffered through an episode while talking to his doctor. The unidentified 60-year-old man, whose case was detailed in the journal Annals of Internal Medicine, had recorded minutes-long periods of heavy sweating each month and was diagnosed with hyperhidrosis, but nobody could figure out why, or how to stop it from happening.

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It wasn’t until the man landed in Dr. Mark Chelmowski’s office at Advocate Aurora Health Care in Milwaukee that a second symptom came to light. Chelmowski told LiveScience that the man scheduled an appointment around when a sweating episode was due to start, and that as they continued their conversation, he noticed his patient’s responses slowing down.

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Five minutes after, the patient recovered, and Chelmowski had a hunch about a potential diagnosis. He sent his patient for an electroencephalogram (EEG), which noted seizure activity in the frontal lobe area of the brain that coincided with the period of excessive sweating.

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Chelmowski concluded that the man’s seizures were sending signals to the man’s body to release heat, which was leading to his excessive sweating. The patient began a regimen of anti-seizure medication and has only experienced one sweating episode in the last 18 months, LiveScience reported.