選択的頸部交感神経機能抑制術 (S. C. S. C.):-上頸交感神経節およびその周辺のmicro-surgical anatomy-

概要

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S. C. S. C. has been indicated for 309 cases of ischemic cerebrovascular disease and judged as good results. In order to perform this operation with safety and certainty, we need the micro-surgical anatomy of the superior cervical ganglion and its surroundings. 1) Superior cervical ganglion. i) Type; a) spindle shaped 200/309 b) broad bean shaped 108/309 c) bottle gourd shaped 1/309 ii) Size; max. min. mean. Length 6.0cm 1.3cm 2.8cm Width 3.5cm 0.3cm 1.5cm Thickness 1.3cm 0.2cm 0.8cm iii) Situation; They are situated in the superior area of the posterior aspect of the bifurcation of the internal and external carotid artery. iv) Branching; Anatomical variations are often noted in the superior portion of the ganglion. 2) Surroundings of the superior cervical ganglion. Take care for the glossopharyngeal nerve on the superior portion of the ganglion and the vagus nerve on the lateral aspect of the ganglion.
The Japanese Society on Surgery for Cerebral Strokeの論文