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, April 8, 2008

Patients usually develop Horner's syndrome and Guttman's sign, stuffy nose

Salahadin Abdi, MD, PhD, Yili Zhou, MD, PhD, NileshPatel, MD, Bhupinder Saini, MD, and John Nelson, MD
A New and Easy Technique to Block the Stellate Ganglion


Patients usually develop Horner's syndrome and Guttman's sign, stuffy nose and increased temperature on the ipsilateral side of the block (
face and upper extremity) within 5 minutes after the procedure.

Pain Physician Vol. 7, No. 3, 2004

Stuffy nose and orthostatic hypotension following sympathectomy

3. Dibenzyline (Smith, Kline & French Labs.): - is a congener of dibenamine in the p-alkylamine family. It is capable of producing a chemical sympathectomy by oral administration. The drug was started usually with two capsules of 10 mg. each on the first day and was daily increased by 20 mg. till the effect of adrenergic blockade viz. stuffy nose and slight orthostatic hypotension appeared, after which the patient was maintained on that very dosage for the rest of the period he was under observation. Medication should begin at a low level as some individuals show postural changes with as little as 20 mgs. of dibenzyline.

Year : 1954 | Volume : 2 | Issue : 2 | Page : 33-44

Adrenergic blocking agents in glaucoma


Department of Ophthalmology, Medical College, Agra, India

only to be performed in extreme cases

In conclusion, it must be stated that due to the potential complications and the invasiveness of the procedure, sympathectomies are only to be performed in extreme cases after extensive discussions with the patient.
http://www.jle.com/fr/revues/medecine/ejd/e-docs/00/01/87/A0/article.md

Texte intégral de l'article
Version imprimable

Current therapeutic strategies for hyperhidrosis: a review


European Journal of Dermatology. Volume 12, Numéro 3, 219-23, May - June 2002, Revues



Auteur(s) : Barbara TOGEL, Bärbel GREVE, Christian RAULIN, University Dermatological Clinic, D-69115, Heidelberg, Germany..

sweating is preserved and becomes exaggerated in some instances

FACIAL FLUSHING AND SWEATING MEDIATED BY THE SYMPATHETIC NERVOUS SYSTEM

PETER D. DRUMMOND and JAMES W. LANCE

Department of Neurology,Prince Henry Hospital Sydney, New South Wales, Australia

It is concluded that the cervical sympathetic outflow is the main pathway for thermoregulatory flushing and emotional blushing and that diminution or absence of such vasodilator reactions is a usual component of Homer's syndrome unless the responsible lesion is confined to the first thoracic root. Gustatory vasodilatation and sweating is preserved and becomes exaggerated in some instances.

Received March 4, 1986. Revised July 22, 1986. Accepted August 5, 1986.