MICROANATOMY

Detailed explanation-1: -The part of the brain that controls sweating is the hypothalamus. If this part of the brain is affected by injury or stroke, sweating is affected. After spinal cord injury or other neurological issues, the skin may not be able to produce sweat below the level of injury or in the area of neurological concern.

Detailed explanation-2: -A person may not be able to sweat or make goose bumps below the level of injury. The body cannot adjust its temperature. A person may feel cold and need blankets, then later, feel hot and need a fan or to be uncovered.

Detailed explanation-3: -When you have a spinal cord injury, your body and brain may not send or receive these signals properly, causing the body to experience hyperthermia (too hot) or hypothermia (too cold). The normal responses to hot and cold, such as sweating or shivering, may still occur, but only above your level of injury.

Detailed explanation-4: -Excessive sweating is a common problem in persons with SCI[35, 36]. In most individuals, episodic hyperhidrosis is usually associated with other autonomic dysfunctions such as autonomic dysreflexia and orthostatic hypotension, or with post-traumatic syringomyelia.