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From the Magnetic Resonance Imaging and Spectroscopy Center and the Department of Neurology, University of Kentucky Medical Center, Lexington, KY.
Address correspondence and reprint requests to Dr. Smith, 113 Davis-Mills Building, University of Kentucky College of Medicine, 800 Rose Street, Lexington, KY 40536; e-mail: csmith{at}mri.uky.edu
A 40-year-old man awoke with exuberant sustained sweating of the entire left side of the body, which became intermittent over the next few days. MRI indicated a single linear hyperintensity in the right posterior hypothalamus, diminishing on a repeat scan. He continues to have episodes of left unilateral sweating precipitated by exercise or minor infection.
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