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

Tuesday, June 5, 2012

Causes of orthostatic hypotension - surgical sympathectomy

Causes of orthostatic hypotension (modified from Simon et al9).
Hypovolemia or hemorrhage Addison’s disease Drug-induced hypotension • Antidepressants • Antihypertensives • Bromocriptine • Diuretics • Levodopa • Monoamine oxidase (MOA) inhibitors • Nitroglycerin • Phenothiazines Polyneuropathies • Myeloid neuropathy • Diabetic neuropathy • Guillain-Barre syndrome • Porphyric neuropathy • Vincristine neuropathy Other neurologic disorders • Idiopathic orthostatic hypotension • Multiple sclerosis • Parkinsonism • Posterior fossa tumor • Shy-Drager syndrome • Spinal cord injury with paraplegia • Surgical sympathectomy • Syringomyelia • Syringobulbia • Tabes dorsales (syphilis) • Wernicke’s encephalopathy Cardiovascular disorders Prolonged bed rest or immobilization
http://www.scribd.com/doc/15030687/Dizziness-Classification-and-Pathophysiology