Cranio-facial Hyperhidrosis
Cranio-facial hyperhidrosis is excessive sweating of the face, scalp and the neck.
Features
This is a condition which obviously presents many social difficulties. It is also commonly seen at the same time as erythrophobia or excessive blushing.
Difficulties
Along with palmer hyperhidrosis, this type of excessive sweating presents great social difficulties for the patient. Often, they will develop social anxiety which only serves to make the problem more worse than it originally was.
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Women in particular face even greater problems and many of them cannot wear makeup which would other smear very quickly.
Sufferers will also not be able to blow dry their hair due to the heat generated. Even a cool setting can present problems.
Treatments
Beta blockers can be used to treat cranio-facial hyperhidrosis, especially if it is largely triggered by episodes of anxiety.
Studies have also found that anticholinergics such as glycopyrrolate have proved to be very useful in treating this form of excessive sweating. However, such drugs do have potential side effects such as dry mouth, headaches and diarrhea.
Botox, or rather botulinum toxin, is also effective. It is most effective for small areas of localised sweat. If the entire face, scalp and neck area is affected then it may not be practical due to the large number of injections that would be needed.
As a last resort, a sympathectomy may be carried out. This is a type of surgery normally carried out with small incisions and an endoscope (ETS) where specific nerves are cut to block the signals that activate sweating in specific parts of the body. This type of surgery is highly controversial so only consider it as a last resort and do plenty of research beforehand.

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