不対神経節
WordNet
- an encapsulated neural structure consisting of a collection of cell bodies or neurons
- one who is playfully mischievous (同)scamp, monkey, rascal, rapscallion, scalawag, scallywag
PrepTutorEJDIC
- 神経節・ガングリオン，結節腫 《主に手首にできる良性の嚢腫(のうしゆ)》・〔知的･産業的活動の〕中心，中枢 〔of〕
- 小悪魔;悪魔の子 / わんばく
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2017/09/17 00:53:40」(JST)
[Wiki en表示]
| Ganglion impar |
| Details |
| Identifiers |
| Latin |
ganglion impar |
Dorlands
/Elsevier |
g_02/12384558 |
| TA |
A14.3.01.037 |
| Anatomical terminology
[edit on Wikidata]
|
The pelvic portion of each sympathetic trunk is situated in front of the sacrum, medial to the anterior sacral foramina. It consists of four or five small sacral ganglia, connected together by interganglionic cords, and continuous above with the abdominal portion. Below, the two pelvic sympathetic trunks converge, and end on the front of the coccyx in a small ganglion, the ganglion impar, also known as azygos [1]or ganglion of Walther.
Clinical significance
Physicians at New Jersey Medical School specializing in Physical Medicine and Rehabilitation have published that sometimes even just a single local nerve block injection at the ganglion impar can give 100% relief of coccydynia (tailbone or coccyx pain), when performed under fluoroscopic guidance.[2]
References
This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)
- ^ Erasmus Wilson, William James (1838). "Practical and surgical anatomy".
- ^ Foye P, Buttaci C, Stitik T, Yonclas P (2006). "Successful injection for coccyx pain.". Am J Phys Med Rehabil. 85 (9): 783–4. PMID 16924191. doi:10.1097/01.phm.0000233174.86070.63.
- Munir MA, Zhang J, Ahmad M. (2004) "A modified needle-inside-needle technique for the ganglion impar block." Can J Anaesth. 2004 Nov;51(9):915-7.
External links
- "Ganglion Impar Injections to Treat Tailbone Pain" at www.TailboneDoctor.com
- "Treatment of coccydynia by injection of local anesthetic to the ganglion impar", at coccyx.org
- figures/chapter_32/32-6.HTM: Basic Human Anatomy at Dartmouth Medical School
- Tailbone pain (coccyx pain, coccydynia) Peer-reviewed medical article online at eMedicine (Medscape)
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Anatomy of the autonomic nervous system
|
| Head |
| Sympathetic |
- Cervical Chain Ganglion: roots
- long ciliary
- Deep Petrosal
|
| Parasympathetic |
- Ciliary ganglion: roots
- Short ciliary
- Pterygopalatine ganglion: deep petrosal
- nerve of pterygoid canal
- branches of distribution: greater palatine
- inferior posterior nasal branches
- lesser palatine
- nasopalatine
- medial superior posterior nasal branches
- pharyngeal
|
|
| Neck |
| Sympathetic |
- paravertebral ganglia: Cervical ganglia
- Stellate ganglion
- prevertebral plexus: Cavernous plexus
- Internal carotid
|
|
| Chest |
| Sympathetic |
- paravertebral ganglia: Thoracic ganglia
- prevertebral plexus: Cardiac plexus
- Esophageal plexus
- Pulmonary plexus
- Thoracic aortic plexus
- splanchnic nerves: cardiopulmonary
- thoracic
- cardiac nerves: Superior
- Middle
- Inferior
|
|
| Abdomen |
| Sympathetic |
- paravertebral ganglia: Lumbar ganglia
- prevertebral ganglia:
- Celiac ganglia
- Aorticorenal
- Superior mesenteric ganglion
- Inferior mesenteric ganglion
- prevertebral plexus:
- Celiac plexus
- Hepatic
- Splenic
- Pancreatic
- aorticorenal
- Abdominal aortic plexus
- Renal/Suprarenal
- Superior mesenteric
- Inferior mesenteric
- Superior hypogastric
- hypogastric nerve
- Superior rectal
- Inferior hypogastric
- Vesical
- Prostatic / Cavernous nerves of penis
- Uterovaginal
- Middle rectal
- splanchnic nerves: Lumbar splanchnic nerves
|
| Enteric |
- Submucous plexus
- Myenteric plexus
|
|
| Pelvis |
| Sympathetic |
- paravertebral ganglia: Sacral ganglia
- Ganglion impar
- splanchnic nerves: Sacral splanchnic nerves
|
| Parasympathetic |
- splanchnic nerves: Pelvic splanchnic nerves
|
|
UpToDate Contents
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English Journal
- Ganglion blocks as a treatment of pain: current perspectives.
- Gunduz OH1, Kenis-Coskun O1.
- Journal of pain research.J Pain Res.2017 Dec 14;10:2815-2826. doi: 10.2147/JPR.S134775. eCollection 2017.
- PMID 29276402
- Repeated Ganglion Impar Block in a Cohort of 83 Patients with Chronic Pelvic and Perineal Pain.
- Le Clerc QC1, Riant T2, Levesque A1, Labat JJ1, Ploteau S3, Robert R2, Perrouin-Verbe MA1, Rigaud J1.
- Pain physician.Pain Physician.2017 Sep;20(6):E823-E828.
- PMID 28934788
- Interventional Management for Pelvic Pain.
- Nagpal AS1, Moody EL2.
- Physical medicine and rehabilitation clinics of North America.Phys Med Rehabil Clin N Am.2017 Aug;28(3):621-646. doi: 10.1016/j.pmr.2017.03.011. Epub 2017 May 27.
- PMID 28676368
Japanese Journal
- Block of the Ganglion Impar for Treatment of a Patieat with Non-malignant Chronic Perineal Pain
- Presacral blockade of the ganglion of walther (ganglion impar)
Related Links
- A ganglion impar block is a procedure used to reduce some of the symptoms of chronic pelvic or rectal pain by blocking nerve impulses. The ganglion impar is a structure located at the level of the coccyx.
- Ganglion impar block is an excellent way to treat chronic, neuropathic perineal pain from visceral and sympathetic pain syndromes. ... by Elizabeth Cudilo M.D., Paul Lynch M.D., and Tory McJunkin M.D. Ganglion impar block is an ...
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