星状神経節
WordNet
- an encapsulated neural structure consisting of a collection of cell bodies or neurons
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〕
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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/01/23 16:31:29」(JST)
[Wiki en表示]
| Nerve: Stellate ganglion |
|
| Plan of right sympathetic cord and splanchnic nerves. (Stellate ganglion not visible, but region is shown.) |
| Latin |
ganglion cervicothoracicum, ganglion stellatum |
| From |
inferior cervical ganglion, first thoracic ganglia |
| MeSH |
Stellate+ganglion |
The stellate ganglion (or cervicothoracic ganglion) is a sympathetic ganglion formed by the fusion of the inferior cervical ganglion and the first thoracic ganglion this exist in 80% of cases. Stellate ganglion is located at the level of C7 (7th cervical vertebrae), anterior to the transverse process of C7, superior to the neck of the first rib, and just below the subclavian artery.
Contents
- 1 Clinical significance
- 2 Anatomy
- 3 References
- 4 External links
Clinical significance[edit]
The clinical significance of these ganglia is that they may be cut in order to decrease the symptoms exhibited by Raynaud's phenomenon and hyperhydrosis (extreme sweating) of the hands. Injection of local anesthetics near the stellate ganglion can sometimes mitigate the symptoms of sympathetically mediated pain such as complex regional pain syndrome type I (reflex sympathetic dystrophy).
Stellate-ganglion block also shows great potential as a means of reducing the number of hot flashes and night awakenings suffered by breast cancer survivors and women experiencing extreme menopause.[1]
Complications associated with a stellate ganglion block include Horner's syndrome, intra-arterial or intravenous injection, difficulty swallowing, vocal cord paralysis, epidural spread of local anaesthetic and pneumothorax.
Blunt needling of the stellate ganglion with an acupuncture needle is used in Traditional Chinese Medicine to decrease sympathetically mediated symptoms as well.
Block of the stellate ganglion has also been explored in coronary artery bypass surgery.[2]
Anatomy[edit]
The stellate ganglion lies in front of the neck of the first rib. The vertebral artery lies anterior to the ganglion as it has just originated from the subclavian artery. After passing over the ganglion, it enters the vertebral foramen and lies posterior to the anterior tubercle of C6. [3]
References[edit]
- ^ Lancet, 2008
- ^ Yildirim V, Akay HT, Bingol H, et al. (2007). "Pre-emptive stellate ganglion block increases the patency of radial artery grafts in coronary artery bypass surgery". Acta anaesthesiologica Scandinavica 51 (4): 434–40. doi:10.1111/j.1399-6576.2006.01260.x. PMID 17378781.
- ^ Raj, Practical Management of Pain, 3rd ed, pp656-657
External links[edit]
- cervicothoracic+ganglion at eMedicine Dictionary
- 1738145852 at GPnotebook
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Nerves – autonomic nervous system (sympathetic nervous system/ganglion/trunks and parasympathetic nervous system/ganglion) (TA A14.3, GA 9.968)
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Head/
cranial |
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Sympathetic
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- Ciliary ganglion: roots
- Short ciliary
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Parasympathetic
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- 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
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Neck/
cervical |
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Sympathetic
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- paravertebral ganglia: Cervical ganglia
- Stellate ganglion
- prevertebral plexus: Cavernous plexus
- Internal carotid
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Chest/
thorax |
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Sympathetic
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- paravertebral ganglia: Thoracic ganglia
- prevertebral plexus: Cardiac plexus
- Esophageal plexus
- Pulmonary plexus
- Thoracic aortic plexus
- splanchnic nerves: cardiopulmonary
- thoracic
- cardiac nerves: Superior
- Middle
- Inferior
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Abdomen/
Lumbar |
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Sympathetic
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- 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
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Enteric
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- Meissner's plexus
- Auerbach's plexus
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Pelvis/
sacral |
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Sympathetic
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- paravertebral ganglia: Sacral ganglia
- Ganglion impar
- splanchnic nerves: Sacral splanchnic nerves
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Parasympathetic
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- splanchnic nerves: Pelvic splanchnic nerves
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anat (h/r/t/c/b/l/s/a)/phys (r)/devp/prot/nttr/nttm/ntrp
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noco/auto/cong/tumr, sysi/epon, injr
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UpToDate Contents
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English Journal
- Targeted ablation of cardiac sympathetic neurons: A promising approach to prevent sudden cardiac death.
- Xia W1, Liu Y2.
- International journal of cardiology.Int J Cardiol.2016 Jan 1;202:425-6. doi: 10.1016/j.ijcard.2015.09.049. Epub 2015 Sep 21.
- PMID 26433164
- Identification of AⅡ amacrine, displaced amacrine, and bistratified ganglion cell types in human retina with antibodies against calretinin.
- Lee SC1,2, Weltzien F1, Madigan MC1, Martin PR1,2,3, Grünert U1,2,3.
- The Journal of comparative neurology.J Comp Neurol.2016 Jan 1;524(1):39-53. doi: 10.1002/cne.23821. Epub 2015 Jul 7.
- Antibodies against calretinin are markers for one type of rod pathway interneuron (AⅡ amacrine cell) in the retina of some but not all mammalian species. The AⅡ cells play a crucial role in night-time (scotopic) vision and have been proposed as a target for optogenetic restoration of vision in r
- PMID 26053777
- Pregabalin Treatment of a Patient With Complex Regional Pain Syndrome.
- Saltık S1, Sözen HG2, Basgul S3, Karatoprak EY2, Içağasıoğlu A4.
- Pediatric neurology.Pediatr Neurol.2016 Jan;54:88-90. doi: 10.1016/j.pediatrneurol.2014.01.015. Epub 2014 Jan 7.
- BACKGROUND: Complex regional pain syndrome (CRPS) is a painful and disabling neurovascular condition. There is no consensus on the etiopathogenesis or the treatment. We present a patient with CRPS type 1 accompanied by a psychiatric disorder to discuss the relationship between CRPS and psychiatric d
- PMID 26706484
Japanese Journal
- Menière論文と19世紀の反応:―第六編：病因論の展開，其の（一）―
- 飯沼 壽孝
- 耳鼻咽喉科臨床 107(1), 79-82, 2014
- … Disorders of the vascular nerves of the labyrinth including the stellate ganglion. …
- NAID 130003386120
- 椋棒 由紀子,成毛 大輔,川真田 美和子,平井 えい子,小森 万希子,椋棒 由紀子,成毛 大輔,川真田 美和子,平井 えい子,小森 万希子
- 東京女子医科大学雑誌 83(4), 258-260, 2013-08-25
- 脳血管障害は、星状神経節ブロックの合併症としてはまれである。我々は、左星状神経節ブロック約30分後に右前大脳動脈梗塞によると思われる左下肢不全麻痺を発症したが、3時間後に組織プラスミノーゲン活性化剤投与開始し症状改善を得られた症例を経験したので報告する。潜在性前大脳動脈狭窄に星状神経節ブロックによる圧反射減弱による血圧低下が脳血流低下を招いた可能性も考えられた。本症例の脳梗塞発症の原因及び星状神経 …
- NAID 110009610663
Related Links
- stellate ganglion n. See cervicothoracic ganglion. stellate ganglion Etymology: L, stella, star; Gk, gagglion, knot a large irregular ganglion on the lowest part of the cervical sympathetic trunk fused with the first thoracic ganglion. Its ...
- Horner's syndrome has many possible aetiologies that can involve a lesion anywhere in the course of the sympathetic tract from hypothalamus to brainstem and upper thoracic cord, sympathetic trunk, stellate ganglion, carotid artery ...
Related Pictures
★リンクテーブル★
[★]
- 英
- cervicothoracic ganglion (N)
- ラ
- ganglion cervicothoracicum
- 同
- 星状神経節 stellate ganglion ganglion stellatum、頸胸神経節
-星状神経節
[★]
星状神経節ブロック
[★]
- 関
- asteroid、astral