Sympathectomy - a stress response attenuation

"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

Thursday, February 16, 2023

sympathectomy leads to fluctuation of vasoconstriction alternated with vasodilation in an unstable fashion. Following sympathectomy the involved extremity shows regional hyper- and hypothermia

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'To quote Nashold, referring to sympathectomy, "Ill- advised surgery may tend to magnify the entire symptom complex"(38). Symp...

sympathectomy such as ESD (endoscopic thoracic sympathectic denervation) or heart transplantation can result in an imbalance between the sympathetic and parasympathetic activities

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Surgical thoracic sympathectomy such as ESD (endoscopic thoracic sympathectic denervation) or heart transplantation can result in an imbalan...
Monday, February 15, 2016

because bilateral ETS causes the suppression of cardiovascular response to exercise, patients that has been treated with ETS need to be observed during high-level exercise

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CARDIOVASCULAR EFFECTS OF BILATERAL ENDOSCOPIC TRANSTHORACIC SYMPATHICOTOMY AT REST AND DURING EXERCISE IN PATIENTS WITH PALMAR HYPERHIDROSI...
Sunday, February 14, 2016

Damage to part of these feedback loops leads to exaggerated pressor responses to stress

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Psychosom Med.  1993 Jul-Aug;55(4):339-46. Abnormal stress responses in patients with diseases affecting the sympathetic nervous system. ...
Saturday, November 21, 2015

Our results show that [3H]substance P binding in the intermediolateral cell column is dependent on the integrity of sympathetic postganglionic neurons

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Guanethidine-induced destruction of sympathetic postganglionic neurons in neonatal rats leads to transneuronal degeneration of the sympathet...

Patients report that they feel less anxious in stressful situations. Stage fright is reduced.

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The results are usually immediate and a surprise to the patient who finds him/herself dry and warm for the ...

Snipping the nerve may stop 'flight-or-fight' stress response

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What do sweaty palms and abnormal heart rhythms have in common? Both can be initiated by the nervous system during an adrenaline-driven ...
Thursday, October 22, 2015

5 (11%) thermoregulation difficulties, 4 (9%) a sensation of left arm paresthesia, and 3 (7%) sympathetic flight/fright response loss

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Patients with LQTS (N=40) and catecholaminergic polymorphic ventricular tachycardia (N=7) underwent video-assisted thoracoscopic left cardia...
Tuesday, September 8, 2015

Endoscopic view of the right hemithorax:

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2749196/figure/F0003/
Sunday, August 9, 2015

Sympathectomy - a neurocardiologic disorder

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Bilateral thoracic sympathectomies or sympathotomies are done for refractory palmar hyperhidrosis [85–87]. Iontophoresis, botulinum toxin i...
Thursday, July 30, 2015

the clinical results of both surgical and neurolityc sympathectomy are uncertain

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Blood diverted from muscle to skin after sympathectomy However, the clinical results of both surgical and neurolityc sympathectomy are...
Friday, June 19, 2015

sympathectomy created imbalance of autonomic activity and functional changes of the intrathoracic organs

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Surgical thoracic sympathectomy such as ESD (endoscopic thoracic sympathectic denervation) or heart transplantation can result in an imbala...
Monday, June 15, 2015

sympathectomized subjects act but do not feel emotional

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in the absence of autonomic arousal, behavior that appears emotional will not be experienced as emotional "In the presence of a ...
Tuesday, April 28, 2015

Post-sympathectomy neuralgia is proposed here to be a complex neuropathic and central deafferentation/reafferentation syndrome

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The formation of the spinal nerve from the dorsal and ventral roots. (Photo credit: Wikipedia ) Pain.  1996 Jan;64(1):1-9. Post-sympa...
Sunday, April 26, 2015

Sympathectomy and parasympathectomy leads to the hyperfunction of the serotoninergic system and pathology

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We studied the balance of activity of sympathetic, parasympathetic, and serotoninergic divisions of the autonomic nervous system in the re...

"The effect is a normalization (?!) of the threshold to trigger facial blushing especially in social situations.”

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Clin Auton Res (2003) 13 [Suppl 1] : I/26 – I/30  https://archive.today/xyCDr

Unforeseeable and unacceptable complications (of sweaty hand surgery)

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Thorac Surg Clin.  2008 May;18(2):193-207. Links Side effects and complications of surgery for hyperhidrosis. Dumont P . Most of th...
Saturday, April 25, 2015

significant adverse effects on cardiopulmonary physiology

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Because of technologic advances and improved postoperative recovery, endoscopic surgery has become the technique of choice for many thoraci...
Friday, January 30, 2015

Thoracic sympathectomy for peripheral vascular disease can lead to severe bronchospasm and excessive bronchial secretions

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Lung India.  2015 Jan-Feb;32(1):73-5. doi: 10.4103/0970-2113.148458. Thoracic  sympathectomy  for peripheral vascular disease can lead to...
Saturday, January 17, 2015

peripheral sympathectomy causes a dramatic increase in NGF levels in the denervated organs

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Increased Nerve Growth Factor Messenger RNA and Protein Peripheral NGF mRNA and protein levels following sympathectomy It has been s...
Wednesday, January 14, 2015

Sympathectomy reduces emotional, stress-induced sweating indicating that it affects the stress-response

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"...for reasons that are not obvious, many patients with facial hyperhidrosis and hyperhidrosis of the feet will benefit from upper th...
Tuesday, January 6, 2015

sympathectomy leads to fluctuation of vasoconstriction alternated with vasodilation in an unstable fashion. Following sympathectomy the involved extremity shows regional hyper- and hypothermia

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To quote Nashold, referring to sympathectomy, "Ill- advised surgery may tend to magnify the entire symptom complex"(38). Sympathe...
Monday, January 5, 2015

cervical sympathectomy induces mast cell hyperplasia and increases histamine and serotonin content in the rat dura mater

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Long-term superior cervical  sympathectomy  induces  mast cell  hyperplasia and increases histamine and serotonin content in the rat  dura ...
Tuesday, December 30, 2014

Peripheral, autonomic regulation of locus coeruleus noradrenergic neurons in brain: putative implications for psychiatry and psychopharmacology

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the new data seem to allow a better understanding of how autonomic vulnerability or visceral dysfunction may precipitate or aggravate mental...
Monday, December 29, 2014

"Since changes in old age show some similarities with those following chronic sympathectomy"

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"For the tracheobronchial tree. surgical (sympathectomy) and chemical (with 6-hydroxydopamine or reserpine) interventions lead to histo...
Saturday, December 27, 2014

sympathectomy leads to fluctuation of vasoconstriction alternated with vasodilation in an unstable fashion. Following sympathectomy the involved extremity shows regional hyper - and hypothermia

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" To quote Nashold, referring to sympathectomy, "Ill- advised surgery may tend to magnify the entire symptom complex"(38). Sy...
Thursday, December 25, 2014

Despite the simplicity and rapidity of the procedure, some patients experience intense, in some cases persistent, postoperative pain

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Jornal Brasileiro de Pneumologia - The incidence of residual pneumothorax after video-assisted sympathectomy with and without pleural draina...
Tuesday, December 23, 2014

sympathicotomy may cause a temporary impairment of the caudal-to-rostral hierarchy of thermoregulatory control and changes in microcirculation

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Patients with palmar hyperhidrosis have been reported to have a much more complex dysfunction of autonomic nervous system, involving compen...
Saturday, December 13, 2014

functional abnormality detected in the small airway of patients who underwent bilateral dorsal sympathectomy to treat primary hyperhidrosis is still present 3 years after surgery

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The main observation of our study was that the functional abnormality detected in the small airway of patients who underwent bilateral dors...
Wednesday, December 3, 2014

Effect of ganglion blockade on cerebrospinal fluid norepinephrine

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Prevention of ganglion blockade-induced hypotension using phenylephrine did not prevent the decrease in CSF NE caused by trimethaphan, and ...
Monday, December 1, 2014

"Similar low values are observed in patients with sympathectomy and in patients with tetraplegia"

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"Patients with progressive autonomic dysfunction (including diabetes) have little or no increase in plasma noradrenaline and this corre...
Sunday, November 30, 2014

"Sympathectomy is a destructive procedure that interrupts the sympathetic nervous system"

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Cervico-thoracic or lumbar sympathectomy for neuropathic pain | Cochrane Summaries : "Sympathectomy is a destructive procedure that int...
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