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A 51-year-old female presented with sudden onset of right-sided hemiparesis and aphasia. Imaging confirmed a left middle cerebral artery (MCA) territory infarct affecting the insular cortex. During her recovery, she developed excessive sweating exclusively on the right side of her body, leading to a diagnosis of contralateral hyperhidrosis. This case highlights the unusual presentation of hyperhidrosis following an MCA stroke and underscores the role of the insular cortex in autonomic regulation.
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Kaleel et al. (2024) studied this question.
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