The amount of compensatory sweating depends on the patient, the damage that the white rami communicans incurs, and the amount of cell body reorganization in the spinal cord after surgery.
Other potential complications include inadequate resection of the ganglia, gustatory sweating, pneumothorax, cardiac dysfunction, post-operative pain, and finally Horner’s syndrome secondary to resection of the stellate ganglion.
www.ubcmj.com/pdf/ubcmj_2_1_2010_24-29.pdf

After severing the cervical sympathetic trunk, the cells of the cervical sympathetic ganglion undergo transneuronic degeneration
After severing the sympathetic trunk, the cells of its origin undergo complete disintegration within a year.

http://onlinelibrary.wiley.com/doi/10.1111/j.1439-0442.1967.tb00255.x/abstract

Tuesday, January 15, 2008

SYMPATHECTOMY causing damage

The damage to the sympathetic ganglia, be it in the form of sympathectomy, chemical sympathectomy, and radiofrequency (all of these sympathectomies are cardinal sins), or repetitive stellate ganglion blocks are damaging (causing "Virtual Sympathectomy") and can complicate the chronic CRPS pain further rather than helping the patient.