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

Thursday, December 4, 2008

Sympathectomy for Jervell and Lange-Nielsen syndrome

Jervell and Lange-Nielsen syndrome: neurologic and cardiologic evaluation - An indication for cervicothoracic sympathectomy

Authors: Ilhan A.1; Tuncer C.; Komsuoglu S.S.; Kali S.

Source: Pediatric Neurology, Volume 21, Number 5, November 1999 , pp. 809-813(5)

http://www.ingentaconnect.com/content/els/08878994/1999/00000021/00000005/art00100;jsessionid=4g96ls07h8ihb.alexandra?format=print

What is Jervell and Lange-Nielsen syndrome?

Jervell and Lange-Nielsen syndrome is a condition that causes profound hearing loss from birth and a disruption of the heart's normal rhythm (arrhythmia). This disorder is a form of long QT syndrome, which is a heart condition that causes the heart (cardiac) muscle to take longer than usual to recharge between beats. Beginning in early childhood, the irregular heartbeats increase the risk of fainting (syncope) and sudden death.
http://ghr.nlm.nih.gov/condition=jervellandlangenielsensyndrome