Anatomy of the Stellate Ganglion
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概要
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1) By gross dissection of human cadavers, stellate ganglion (SG) located on the ventral surface of head of the first rib in most cases.2) Sympathetic preganglionic cells projecting to SG were observed in the spinal cord over T1-T10.3) The skin area received the sympathetic postganglionic fibers from SG extended from C3 to T12 in the level of the vertebra. Especially, the numerous sympathetic postganglionic fibers from SG projected to the skin area from C6 to T5 in the level of the vertebra.4) Sympathetic postganglionic cells projecting to the heart were found cervico-thoracic sympathetic ganglia, bilaterally. The majority of these cells were observed in the bilateral middle cervical ganglion. The sympathetic postganglionic fibers from SG terminated in the SA-node, and auricle. Fibers to SA-node is more superior from right MCG and SG than from left ones. These results suggested that right SGB is more influent on heart rate and rhythm than left SGB.5) The internal and external carotid arteries received chiefly the sympathetic postganglionic fibers from the superior cervical ganglion (SCG).6) The bone marrow of the humerus received the great number of the sympathetic postganglionic fibers from SG.7) Afferent fibers in the SG contained the sensory nerves from spinal ganglia.8) There are reciprocal connections between SCG and MCG, MCG and SG, and SCG and SG.9) These results from experimental studies suggest that C6-SGB are effective for the pain and nerve paralysis of face and head, while C7-SGB are effective for those of upper extremities.
- 一般社団法人 日本ペインクリニック学会の論文
一般社団法人 日本ペインクリニック学会 | 論文
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