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Spontaneous periodic hypothermia and hyperhidrosis: a possibly novel cerebral neurotransmitter disorder. 2011
Marcelo Rodrigues Masruha, and
Jaime Lin, and
Juliana Harumi Arita, and
Eduardo Ferreira De Castro Neto, and
Débora Amado Scerni, and
Esper Abrão Cavalheiro, and
Maria Da Graça Naffah Mazzacoratti, and
Luiz Celso Pereira Vilanova
Department of Neurology and Neurosurgery, Federal University of São Paulo, São Paulo, Brazil. mmasruha@ig.com.br
Spontaneous periodic episodes of hypothermia still defy medical knowledge. In 1969, Shapiro et al. described the first two cases of spontaneous periodic hypothermia associated with agenesis of the corpus callosum. Recently, Dundar et al. reported a case of spontaneous periodic hypothermia and hyperhidrosis without corpus callosum agenesis, suggesting that the periodic episodes of hypothermia might be of epileptiform origin. Here we describe two paediatric patients with spontaneous periodic hypothermia without corpus callosum agenesis and demonstrate, to our knowledge for the first time, altered levels of neurotransmitter metabolites within the cerebrospinal fluid.
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