Cell body reorganization in the spinal cord after elective surgery to treat palmar sweating

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

Spinal cord infarction occurring during thoraco-lumbar sympathectomy
J Neurol Neurosurg Psychiatry 1963;26:418-421 doi:10.1136/jnnp.26.5.418

Saturday, July 16, 2011

Autonomic Neuropathy Differential Diagnoses

Differentials 
Aromatic L-amino acid decarboxylase deficiency 
Autonomic dysreflexia syndrome in spinal injuries. 
Dopamine beta-hydroxylase deficiency 
Multiple System Atrophy 
Parkinson Disease 
Parkinson-Plus Syndromes 
Progressive Supranuclear Palsy 
Pure Autonomic Failure 
Surgical sympathectomy 
Syphilis (tabes dorsalis) 
Vagotomy 

http://emedicine.medscape.com/article/1173756-differential