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, January 5, 2009

irreversible deterioration in cardiac function

The concept of posterior nerve root section was resurrected 10 years later, when Danielopolu (Director of the Second Medical Clinic at the University of Bucharest) criticized the Jonnesco-type sympathectomy on the grounds that it produced an irreversible deterioration in cardiac function. He therefore directed his surgical colleague, Hristide, to cut the posterior roots of the upper thoracic spinal nerves which divided only sensory fibres.
Danielopolou later declared cervicothoracic sympathectomy to be disastrous, from the therapeutic point of view, and concluded that removal of the stellate ganglion for angina was incompatible with life.

Landmarks in Cardiac Surgery

By Stephen Westaby, Cecil Bosher
Published by Informa Health Care, 1997