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, January 17, 2008

Causes of SYNCOPE

neurological, mechanical or both:
sympathectomy


http://www.wrongdiagnosis.com/symptoms/coma/book-causes-6a.htm

HOW SYMPATHECTOMY CAUSES PAIN

During surgery, for ex-
ample, accidental sympathectomy
can occur, leading to neuroma development and a predictable se-
quence of events: “internal” stimu-
lation of afferent or somatosensory
neurons, generation of efferent
nerve impulses, and the subse-
quent sensation of neurologic pain.
JAMES F. CARTER, MD, and DAVID E. SOPER, MD

The surgery

side effects and complications
Because of the proximity to the cervical spinal canal, accidental
RF lesioning of the neuraxial structures at this level can result
in significant neurologic dysfunction, including quadriparesis.
Unintentional lesioning of the phrenic nerve can result in dia-
phragmatic paralysis and respiratory insufficiency. Inadvertent
lesioning of the recurrent laryngeal nerve can result in pro-
longed or permanent hoarseness. A permanent Horner syn-
drome can occur if the superior cervical sympathetic ganglion
is damaged during the procedure. Pneumothorax is a distinct
possibility, especially on the right side and with lesioning at the
T1 level. The incidence of all the above complications can be
decreased with careful use of trial stimulation and fluoroscopic
guidance. The anatomic region in this area is highly vascular,
increasing the risk for local and systemic anesthetic toxicity as
well as hematoma formation.

effects of thiazides may be enhanced in the post-sympathectomy patient

Ziac side effects (Bisoprolol and Hydrochlorothiazide) and drug ...

Somnolence, 0.7, 1.1, 0.7, 0.9. Loss of libido, 1.2, 0.4, 1.2, 0.4 .... effects of thiazides may be enhanced in the post-sympathectomy patient. ...
www.rxlist.com/cgi/generic/bishctz_ad.htm - 62k

Hypotension following Sympathectomy

fatigue and somnolence.

Sympathectomy for sympathetically mediated pain

Surgical sympathectomy, spinal cord stimulation, and central
neuraxial blockade have all been reported to be useful, but not rigorously tested. When superficial tactile
allodynia is a prominent feature of the patient’s presentation, this author has found that a diagnostic
lumbar paravertebral sympathetic block can be useful in assessing the degree of sympathetically mediated
pain. When sympathetically mediated pain is a prominent feature, as evidenced by over 50% pain reduction
with the sympathetic block, a percutaneous radiofrequency rhizotomy of the sympathetic chain can follow
for a more long-lasting effect.

By Timothy L. Sternberg, DMD, MD
Director, Center for Pain Management
University of Florida/Shands Jacksonville

epidural catheter - three years after a sympathectomy

epidural abscess in a patient with dorsal hyperhidrosis .

PURPOSE: To report the management of a patient who developed a lumbar epidural abscess when an epidural catheter was placed three years after a thoracic sympathectomy. The possible contribution of hyperhidrosis is discussed. CLINICAL FEATURES: A 62-yr-old male had compensatory hyperhidrosis in his back after thoracic sympathectomy. The patient, who suffered from thromboangeitis obliterans, underwent lumbar (L2-3) epidural catheterization in order to improve arterial circulation and ameliorate resting pain in his left leg. On the third day after catheterization, the patient complained of a dull pain in his back. Emergency magnetic resonance imaging revealed a 12-mm abscess in the epidural space. On the tenth day after catheterization, laminotomy at the 3-4 lumbar vertebrae and local drainage were performed. A 14-mm abscess was removed from the epidural space. The patient was discharged on day 21 after catheterization without any disability. CONCLUSION: Special precautions against infection may be necessary in patients with hyperhidrosis in the area where continuous epidural catheterization is attempted

Brain before surgery

There may be additional mechanisms involved in primary hyperhidrosis. An EEG and PET scan study of
patients with palmoplantar hyperhidrosis showed increased sharp wave bursts during hyperventilation and
hyperperfusion of the frontal cortex.[119]

International Hyperhidrosis Society

Compensatory Sweating will run and ruin your life

Compensatory Sweating


Compensatory sweating is excessive sweating that may occur on the back, chest, abdomen, legs, face, and buttocks as a side effect of ETS surgery. This side effect is grave because it can be equally or even more extreme than the original sweating problem.

In a study involving 121 patients at the Medical City Hospital of Dallas, Texas, compensatory sweating occurred in more than 80% of the patients undergoing ETS. Similarly, in a Danish study conducted at the Aarhus University Hospital, 90% of the patients undergoing ETS for underarm sweating, reported compensatory sweating, half of whom were forced to change their clothes during the day because of it. http://www.sweathelp.org/English/PFF_Treatment_Surgery.asp

SERIOUS, DISABLING SIDE EFFECTS, HEAVILY ADVERTISED...

isn't there a contradiction here??? just think about it!

Serious negative side effects of sympathectomy


"Surgery



After all other treatments have been tried, adjusted for individual circumstances, and still found to be ineffective, surgical treatment for excessive sweating may be an option considered by your physician. There are a number of different types of surgery that are sometimes used to treat hyperhidrosis. These include local surgical procedures that remove the sweat glands and endoscopic thoracic sympathectomy (ETS). ETS, in particular, is considered a last resort because it frequently causes serious, irreversible compensatory sweating. And in fact, most physicians do not recommend ETS surgery because of the serious negative side effects of the procedure."
http://www.sweathelp.org/English/PFF_Treatment_Surgery.asp

Severe side-effects, permanent damage

"Due to side effects, oral medications are not recommended as a long-term solution. Similarly, surgical options, although heavily advertised, are reserved for only certain severe cases of hyperhidrosis that have not responded to any of the other treatment options. Before considering surgical treatment, physicians and their patients must fully consider and discuss the very real risks of permanent damage and severe side effects."
http://www.sweathelp.org/English/PFF_Treatment_Overview.asp

Last resort surgery? What does that mean??

"Dr. Goodman: Mainly dermatologists and cosmetic physicians provide treatments for excessive sweating here. Treatments available include heavy-duty antiperspirants, botulinum toxin injections, and iontophoresis. We provide iontophoresis treatments here at the Skin and Cancer Foundation of Victoria and it's available at certain other hospital centers, but it's not available in private practice like it is in the United States, and usually the iontophoresis units being used have been built by hospitals' own engineering departments. Occasionally, though, the R.A. Fischer galvanic units may also be used. Endoscopic thoracic sympathectomy is still practiced here but its use is decreasing and it's really only advocated as the last resort for palmar [hand] hyperhidrosis or facial blushing, and it's only rarely used for axillary [underarm] hyperhidrosis. "

http://www.sweathelp.org/English/CMN_Article.asp?ArticleCode=64750038

SYMPATHECTOMY REDUCES FEAR

and this is not good news. Fear is still one of our survival tools, we need fear to assess situations, to avoid dangerous situations and not take unnecessary risks. Fear is also one of the emotions on the palette of the complex human emotions. If it is not paralyzing, irrational fear, why would you want to reduce the scale of emotions you can experience. Not only that, but fear is very closely linked to motivation. Why would you want to switch that 'engine' off?

"Experiements in animals demonstrate that sympathectomy may retard averse conditioning. (DiGusto and King, 1972), most likely because sympathectomy reduces fear."
Clinical Neuropsychology 2003

ANOTHER WEBSITE!!!

http://www.truthaboutets.com/sideeffects.html

Serotonin? !

Is it connected to depression??? Is there a possibility that the patients complain about depression after surgery not just because they are ... wankers???

sympathectomy abolishes the circadian rhythm

Melatonin Metabolism: Neural Regulation of Pineal Serotonin ...

These data indicate that superior cervical sympathectomy abolishes the ... Indole metabolism in the pineal gland: a circadian rhythm in N-acetyltransferase. ...
www.pubmedcentral.nih.gov/articlerender.fcgi?artid=389600

Chemical Sympathectomy Alters Cytotoxic T Lymphocyte Responses

google. learn.
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