[Dysphagia] sweat while chewing

[eripley at yahoo.com (Irene Campbell-Taylor)]

This is Frey syndrome:


Frey's Syndrome is a rare neurological disorder that results from injury or surgery near the parotid glands damaging the facial nerve. The parotid glands are the largest salivary glands and are located on the side of the face below and in front of the ear. This syndrome is characterized by flushing or sweating on one side of the face when foods are consumed or, in some cases, simply by thinking about food - whci can be a salivary stimulus.It is thought that autonomous fibers to salivary glands have become connected in error with the sweat glands when they become reconnected after the damage which originally caused their connection to be interrupted. Flushing prevalent in females, sweating in males. It can persist for life. Some cases are congenital and probably due to birth trauma. The term "auriculotemporal syndrome" is misleading, as the skin innervated by the greater auricular nerve, the lesser occipital nerve, the long buccal nerve, or any cutaneous branch of the cervical
  plexus,
 may be involved.
Also known as:

Auriculotemporal Syndrome 

Baillarger's Syndrome 

Dupuy's Syndrome 

Salivosudoriparous Syndrome 

Sweating Gustatory Syndrome 

von Frey's Syndrome

Naomislp@aol.com wrote:
Hi all, 
Happy Labor Day weekend -
Recently met pt with c/o dysphagia, all consistencies, with increasingly 
frequent episodes of coughing/choking. He has hx of tongue base cancer, treated 
with chemo and radiation (about 5 years ago) and more recent lymph node surgery 
around neck area with some reported nerve damage. He presents with asymmetric 
jaw, lip, and tongue movement and has pharyngeal weakness on that same side 
with near unilateral accumulation of residue on a-p view during MBS study. He is 
consistently noticing beads of sweat forming on his forehead and literally 
dripping down side of his face when he is chewing solid food; was told by his MD 
that nerves may have regenerated and fused incorrectly - does anyone have any 
further info/clarification on this? Seems like several nerves are involved 
here and what causes the perspiration?
thanks in advance,
Naomi
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Dr I Campbell-Taylor
Clinical Neuroscientist
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