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

Monday, November 10, 2008

ETS for severe cases of LQT

Left cervical sympathectomy:

Selective left cervical sympathectomy
may be considered for:
1. Those with severe disease and in
whom beta blockers are contra-
indicated or AICD cannot be placed or
is not wanted. 2. Controlling VT
storms in those with an AICD, 3.
LQT3 or a personal or family history
of events during rest or sleep.


From the publication by the Cardiac Society of Australia and New Zealand,
Volume XVIII, No. 1, March 2006
This document represents the views of the Cardiac Society of Australia and New Zealand. The guidelines were approved by the Council of the CSANZ on 25th November, 2005.