Cervico-Thoracic Ganglion: Its Clinical Implications Pather, Nalini en_US Partab, P en_US Singh, B en_US Satyapal, KS en_US 2021-11-25T13:36:50Z 2021-11-25T13:36:50Z 2006 en_US
dc.description.abstract Lesions of the cervicothoracic ganglion (CTG) result in interruption of sympathetic fibers to the head, neck, upper limb, and thoracic viscera. The accurate understanding of the anatomy of the CTG is relevant to sympathectomy procedures that may be prescribed in cases where conventional intervention has failed. This study documents the incidence and distribution of the CTG to avoid potential complications such as Horner’s syndrome and cardiac arrhythmias. This study utilized 48 cadavers, in which a total of 89 sympathetic chains were dissected. The inferior cervical ganglion (ICG) and the first thoracic ganglion was fused in 75 cases (84.3%) to form the CTG. It was present bilaterally in 48 of these specimens (65.3%). Three different shapes of CTG were differentiated, viz. spindle, dumbbell, and an inverted ‘‘L’’ shape. The dumbbell and inverted ‘‘L’’ shapes demonstrated a definite ‘‘waist’’ (i.e., a macroscopically visible union of the ICG and T1 components of the CTG). Rami from the CTG was distributed to the brachial plexus, the subclavian and vertebral arteries, the brachiocephalic trunk, and the cardiac plexus. This study demonstrates a high incidence of a double cardiac sympathetic nerve arising from CTG. It is therefore imperative that in the technique of sympathectomy, for intractable anginal pain, the surgeon excises both these rami but does not destroy the ganglion itself. The ever-improving technology in endoscopic surgery has made investigations into the nuances of the anatomy of the sympathetic chain essential. Clin. Anat. 19:323–326, 2006. en_US
dc.language English
dc.language.iso EN en_US
dc.rights CC BY-NC-ND 3.0 en_US
dc.rights.uri en_US
dc.source Legacy MARC en_US
dc.subject.other thoracoscopy en_US
dc.subject.other cervico-thoracic ganglion; en_US
dc.subject.other sympathectomy en_US
dc.title Cervico-Thoracic Ganglion: Its Clinical Implications en_US
dc.type Journal Article en
dcterms.accessRights metadata only access
dspace.entity.type Publication en_US
unsw.identifier.doiPublisher en_US
unsw.relation.faculty Medicine & Health
unsw.relation.ispartofissue 4 en_US
unsw.relation.ispartofjournal Clinical Anatomy en_US
unsw.relation.ispartofpagefrompageto 323-326 en_US
unsw.relation.ispartofvolume 19 en_US
unsw.relation.originalPublicationAffiliation Pather, Nalini , Medical Sciences, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Partab, P en_US
unsw.relation.originalPublicationAffiliation Singh, B en_US
unsw.relation.originalPublicationAffiliation Satyapal, KS en_US School of Medical Sciences *
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