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

Wednesday, December 28, 2011

sympathicotomy may cause a temporary impairment of the caudal-to-rostral hierarchy of thermoregulatory control and changes in microcirculation

Patients with palmar hyperhidrosis have been reported to have a much
more complex dysfunction of autonomic nervous system, involving compensatory high parasympathetic
activity as well as sympathetic overactivity (13, 14), suggesting that sympathicotomy initially induces a
sympathovagal imbalance with a parasympathetic predominance, and that this is restored on a
long-term basis (14). Therefore, thoracic sympathicotomy may cause a temporary impairment of the
caudal-to-rostral hierarchy of thermoregulatory control and changes in microcirculation. The reduction
of finger skin temperature on the non-denervated side may be due to either a decrease in the cross-
inhibitory effect or the abnormal control of the inhibitory fibers by the sudomotor center (6).
Vasoconstrictor neurons have been found to be largely under the inhibitory control of various afferent
input systems from the body surface, whereas sudomotor neurons are predominantly under excitatory
control (15). The basic neuronal network for this reciprocal organization is probably located in the spinal
level (15). Therefore, the reduction in the contralateral skin temperature may be explained by cross-
inhibitory control of various afferent in the spinal cord.
In particular, our study showed that, following bilateral T3 sympathicotomy, the skin temperatures on
the hands increased whereas the skin temperatures on the feet decreased. These findings suggest a
cross-inhibitory control between the upper and lower extremities. However, the pattern of skin
temperature reduction on the feet differed from that on the contralateral hand. The skin temperature on
the feet did not decrease after right T3 sympathicotomy but decreased significantly after bilateral T3
sympathicotomy.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2722005/

Sunday, December 18, 2011

significant impairment of the heart rate to workload relationship was consistently observed following sympathectomy

The aim of the present prospective study was to confirm that a significant impairment of the heart rate to workload relationship was consistently observed following unilateral and/or bilateral (sympathectomy) surgery. Eur J Cardiothorac Surg 2001;20:1095-1100 http://ejcts.ctsnetjourna...i/content/full/20/6/1095

Tuesday, December 13, 2011

a correlation of the findings of cytoarchitectonics and sympathectomy with fibre degeneration following dorsal rhizotomy

Autonomic neurons in the spinal cord of the rhesus monkey: a correlation of the findings of cytoarchitectonics and
sympathectomy with fibre degeneration following dorsal rhizotomy.
J Comp Neurol 146:189 –218.
http://onlinelibrary.wiley.com/doi/10.1002/cne.901460205/abstract


Cytoarchitecture or Cytoarchitectonics is the study of the cellular composition of the body's tissues under the microscope.

Objective Assessment Of Sudomotor Response Following Thoracoscopic Sympathectomy

http://www.aats.org/annualmeeting/Abstracts/2006/AM06_44.html

Thursday, December 8, 2011

Bradicardia, hypotension and hypoxia are frequently observed during thoracic sympathicotomy

Volume 13, Number 2, 147-161, DOI: 10.1007/s102860300008

5th International Symposium on Sympathetic Surgery 29th–31th May 2003

Monday, December 5, 2011

Psychiatrist treating patients with cardiac problems ?

"The guidelines for the block in individual cases:
Sweating of the underarms and hands - T4 or T5
Sweating of the face and blushing - T3 or T4
Blushing of the face alone - T2
Social anxiety with blushing - T2
Social anxiety without FB - T3 and T4 on the left side only
Heart racing and rhythm disorders - T3, T4, and T5 on the left side only "

Telaranta also claims that  after clamping/crushing the nerve  and subsequent removal of the titanium clips, the sympathetic chain will regain full function. Sadly, this is an unproven and unsubstantiated claim.

He also claims that his procedure is "more gentle". Nerve injury - no matter how acquired - remains a nerve injury with it's complications.  
http://www.privatix.fi/index.shtml?&a=0&s=navig_03&l=en&d=01_details