Title

T2 and T3 sympathetic ganglia in the adult human: a cadaver and clinical-radiographic study and its clinical application

UMMS Affiliation

Department of Quantitative Health Sciences; Meyers Primary Care Institute

Date

9-1-1987

Document Type

Article

Medical Subject Headings

Female; Ganglia, Sympathetic; Humans; Male; Plethysmography; Radio Waves; Sympathectomy

Disciplines

Biostatistics | Epidemiology | Health Services Research | Neurology

Abstract

The technique of percutaneous radiofrequency (RF) upper thoracic sympathectomy mandates an exact knowledge of the anatomical location of the sympathetic ganglia. Because conflicting descriptions are given in anatomy texts, we examined the T2 and T3 sympathetic ganglia in 48 sympathetic chains in adult cadavers to measure the exact location of the ganglia. Measurements were made relative to their distances (a) dorsal to the ventral surface of the vertebral body and (b) rostral or caudal to the midpoint of the vertebral body. Median locations of T2 and T3 ganglia were 17 to 20 mm dorsal to the ventral surface of the vertebral body and 2 mm rostral to the T1-T2 and T2-T3 vertebral bodies. The sympathetic chains lay lateral to and between the heads of the ribs at these levels. A clinical-radiographic correlation study of the sympatholytic effectiveness of various needle electrode placement sites during sympathectomy confirmed these findings. These data have been used to modify the technique of percutaneous RF sympathectomy.

Rights and Permissions

Citation: Neurosurgery. 1987 Sep;21(3):339-42. Link to article on publisher's site

Related Resources

Link to Article in PubMed