We present a case of ganglioneuroma arsing from the sympathetic ganglia in the pelvic cavity.
Ganglia, Sympathetic ; Ganglioneuroma*

164 patients with primary hyperhydrosis underwent bilateral upper dorsal “sympathectomy” by percutaneous injection a hot serum. Pretreatment epidemiological data are described. The immediate and late results, as well as the complications and side effects are detailed: For severe cases of hyperhydroisis that cause social, professional and emotional embarassment “sympathectomy” by percutaneous injection of hot serum is a procedure of choice due to good results and minor complications.
Ganglia, Sympathetic ; Sympathectomy

More than 300 patients with palmar hyperhydrosis had been treated by classical upper thoracic sympathectomy at the Department of Neurosurgery in Viet Duc hospital. From 5/1977 to 1/1999, 600 patients were treated by a new technique: a bilateral percutaneous injection of boiling saline into the paravertebral areas containing the upper sympathetic ganglia. An objective reliable criterion of the success of the procedure is arterial criterion of the success of the procedure is arterial vasodilatation in the upper limb, evidenced by pre and postoperative DOPPLER effects and accompanied by dryness of the hands. Good results were obtained in 71% of the patients, bad results in 18% and relapse in 11%. Two major complications were Horner’s syndrome and compensatory hyperhydrosis. The results show that non-surgical sympathectomy has nearly the same results than that of open sympathectomy, with the advantages of greater simplicity and lower cost.
Ganglia, Sympathetic ; Sympathectomy

From Nov, 2000 to Nov, 2001, 52 thoracic sympathetectomy were operated by endoscopic Electro-coagulation in Surgical Dep. of Bach Mai hospital. They included 51 palmer hyperhydrosis and 1 pain due to chronic pancreatitis calculi. The good result reached 96% with no severe complications, only 1 hemothorax and 2 pneumothorax. The mean value of duration of treatment was 4.3 days.
Ganglia, Sympathetic ; Sympathectomy

BACKGROUND: To obtain optimal results with stellate ganglion block, it is necessary to have a precise knowledge of the exact location of the stellate ganglion and its relationship to the upper thoracic and lower cervical ganglia, in the procedure, the landmark is C6 transverse process, and the drugs for sympathetic block is injected into it. METHODS: We attempted to show the correlation between the height and the distance from C6 transverse process to stellate ganglion and T2 sympathetic ganglion, and respective means and standard deviations in 10 cadavers to estimate whether the height can be used as one of the factors to decide injection dosage for stellate ganglion block, or not. RESULTS: The mean of height was 161.20 5.89 cm and the mean of the distance from left C6 transverse process to T2 sympathetic ganglion was 44.88 6.76, the mean of the distance from right C6 transverse process to stellate ganglion was 40.73 7.47 mm, and the correlation coefficient and regression equation were 0.29 and y=0.38 20.55, respectively, the mean of the distance from left C6 transverse process to T2 sympathetic ganglion was 65.02 11.12 mm, and the correlation coefficient and regression equation were 0.75 and y=1.42 164.01, respectively, the mean of the distance from right C6 transverse process to T2 sympathetic ganglion was 61.38 9.20 mm, and the correlation coefficient and regression equation were 0.74 and y=1.16 125.88, respectively. CONCLUSIONS: It is concluded that we can used the height as one of effective factors to decide drug dosage for stellate ganglion block in Korean.
Cadaver ; Ganglia ; Ganglia, Sympathetic* ; Stellate Ganglion*

OBJECTIVE: To evaluate the efficacy of scalene injection in patients with thoracic outlet syndrome. METHODS: We selected 142 patients diagnosed with thoracic outlet syndrome between January 2005 and October 2009. We performed a series of scalene injection with conservative treatment in all cases. Patients rated their pain degrees using a visual analogue scale. We also evaluated the time to return to everyday life and work, and patients' functional capacity. RESULTS: There were no complications or instances of inadvertent somatic or sympathetic ganglionic blockade after scalene injection. Overall, 111 patients (76.5%) experienced improved symptoms after the first set of scalene injection and 128 patients (88.2%) improved after scalene injection followed by conservative treatment. Of the 68 patients who returned to work during the study period, 54 returned within 1 week, and 62 within 2 weeks. Of those who returned to work, 61 reported nearly full functional capacity. We found that scalene injection was more effective in cases of thoracic outlet syndrome related to trauma than in those related to work-related repetitive stress. CONCLUSION: In patients with thoracic outlet syndrome, scalene injection effectively reduces pain. We recommend scalene injection as an adjunct to conservative treatment.
Ganglia, Sympathetic ; Humans ; Thoracic Outlet Syndrome

The adrenal ganglioneuroma was rare benign tumor that arise from mature sympathetic ganglion cells, located within the substance of the adrenal medulla or along the sympathetic chain. It may secrete catecholamines, represent endocrine symptoms. Nonfunctional growths remain silent until they reach large size. They are usually discovered incidentally. Herein we report a case of left adrenal ganglioneuroma that was incidentally discovered.
Adrenal Medulla ; Catecholamines ; Ganglia, Sympathetic ; Ganglioneuroma*

Ganglioneuroma is a rare benign neurogenic tumor arising from sympathetic ganglia. A case of paraspinal retro-peritoneal ganglioneuroma in a 39-year-old woman is described here. The patient underwent surgery with gross total removal of the tumor and relief of her initial chief complaint of backache and leg pain. We review the literature and discuss the clinical features and the histogenesis of ganglioneuroma.
Adult ; Back Pain ; Female ; Ganglia, Sympathetic ; Ganglioneuroma ; Humans ; Leg

We must be assured that sympathetic ganglion block interrupts a vicious cycle of nerve impulses. Therefore, it prevents vasospasm and improves local circulation. The sympathetic ganglion block is effective in acute stage of herpes zoster and reduces the incidence of post-herpetic neuralgia. Herpes zoster is more often involved in an immunosuppressive imbalance. Three cases of herpes zoster were treated by repeated sympathetic ganglion block with 1% proved. Duration from onset of pain was 1 week, 1 month and 2 months, respectively. The block decreased the degree of pain markedly and dried up the vesicle in the early stage. Two of these three cases had suffering from diabetes melitus.
Action Potentials ; Ganglia, Sympathetic ; Herpes Zoster* ; Incidence ; Neuralgia

BACKGROUND: The target of lumbar sympathetic ganglion block is the anterolateral surface of the L2, 3 and 4 vertebral bodies, where the lumbar sympathetic ganglion usually lies. In most cases, a block-needle is inserted approximately 5-8 cm lateral to spinous process on the skin and directed to the anterolateral surface of vertebral body obliquely. The purpose of this study is to determine the safe entry angle and entry point in Korean by using the abdominal CT scan images. METHODS: The abdominal CT images of eighty five patients were recruited to this study. The minimal angle aimed at the lumbar sympathetic ganglion that can pass through the lateral aspect of body and maximal angle that avoids puncturing the kidney, ureter or retroperitoneal space were measured. The distance from midline to skin entry point was also measured. RESULTS: There was no significant difference in entry angle among L2, 3, and 4 level. The entry angle was similar in the right and left side, and in males and females. The entry angle of old age group was significantly smaller than that of young age group. The calculated safe entry angle was 30.5 +/- 0.4degrees and entry point was 7.7 +/- 0.2 cm and 6.7 +/- 0.1 cm lateral from midline in males and females respectively. CONCLUSION: These measurements can be used as a reference for lumbar sympathetic ganglion block and radiofrequency lesioning. Prior to performing the lumbar sympathetic ganglion block for cancer patients, the abdominal CT scan should be reviewed to prevent complications.
Female ; Ganglia, Sympathetic ; Humans ; Kidney ; Male ; Retroperitoneal Space ; Skin ; Ureter