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

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

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*

1) Atropine and scopolamine in doses of 0. 05, 0. 1, 0, 15, 0. 2 and 0. 25 mg produced bradycardia in humans. 2) The bradycardia induced by 0. 05 and 0, 1 mg of atropine was restored to normal rhythm by 0. 2 and 0. 15 mg of atropine, respectively. 3) The bradycardia induced by 0. 05 and 0. 1 mg of scopolamine was reversed to tachycardia by 0. 2 and 0. 15 mg of scopolamine, respectively. 4) The scopolamine(0.05mg) induced bradycardia was restored to normal rhythm by atropine 0.15 mg and reversed to tachycardia by atropine 0.2mg 5) The atropine(0.1 mg) induced bradycardia was partially restored by scopolamine 0.15 and 0. 2 mg. 6) It was argued that these results were not explainable by a central vagal effect of a direct effect of atropine and scopolamine on the heart but explainable by the blocking effect of these drugs to the sympathetic ganglia.
Atropine* ; Bradycardia* ; Ganglia, Sympathetic ; Heart ; Humans ; Scopolamine Hydrobromide* ; Tachycardia

BACKGROUND: Although variable surgical methods of sympathetic nerve for palmar hyperhidrosis are curative and safe therapeutic options, they have some limitations such as compensatory sweating and anhidrosis of hand in long term satisfaction rate. MATERIAL AND METHOD: Therefore, we tried to decrease severity of compensatory sweating and prevent excessive dryness of hand through selective division of rami communicantes of thoracic sympathetic ganglia distributed to the hands(ramicotomy). RESULT: In postoperative results, about half of the patients maintained humidity of hands and most of them showed no more than mild degree of compensatory sweating. CONCLUSION: Therefore, ramicotomy of thoracic sympathetic ganglia can be recommended as selective and physiologic surgical method for palmar hyperhidrosis.
Ganglia, Sympathetic* ; Hand ; Humans ; Humidity ; Hyperhidrosis* ; Hypohidrosis ; Sweat ; Sweating

The lumbar sympathetic ganglion block (LSGB) is widely used for diagnosing and treating sympathetically maintained pain disorders. The LSGB has been conventionally carried out under fluoroscopy or computed tomography guidance. However, as ultrasound technology improved, ultrasound-guided interventions have been expanding their territory to deeper structures. Ultrasound guidance provides many benefits including protecting vascular injection, shortening procedure time in some cases, and reducing the emission of radiation. In this report, we describe a successful case of a US-guided LSGB without major complications. We expect that US-guided LSGBs can be implemented and furnished in the daily outpatient clinical setting by highly trained pain physicians.
Fluoroscopy ; Ganglia, Sympathetic ; Humans ; Neuralgia ; Outpatients ; Psoas Muscles ; Ultrasonography