Mars Chir. ;4 (1):83-8 14956138 (P,S,E,B)
Sympathetic surgery in cerebral vascular disorders.
J BONNAL
Mesh-terms: Brain :: blood supply; Intracranial Embolism and Thrombosis :: surgery;
"Sympathectomy is a technique about which we have limited knowledge, applied to disorders about which we have little understanding." Associate Professor Robert Boas, Faculty of Pain Medicine of the Australasian College of Anaesthetists and the Royal College of Anaesthetists, The Journal of Pain, Vol 1, No 4 (Winter), 2000: pp 258-260
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
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
Friday, May 30, 2008
Increased blood flow reduces perfusion of the small blood vessels
The action of sympathectomy is felt to be an increase in collateral flow; the circulation cannot be restored to normal since the flow in the aggregate of small arteries is less than normal.
Miller, J. E.: Anatomy cf the Heart and Great
Vessels. Angiocardiographic Study. Texas State
J. Med. 47: 5 (Jan.), 1951.
Miller, J. E.: Anatomy cf the Heart and Great
Vessels. Angiocardiographic Study. Texas State
J. Med. 47: 5 (Jan.), 1951.
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