仙骨前神経
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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2018/03/30 12:26:27」(JST)
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| Superior hypogastric plexus |
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The right sympathetic chain and its connections with the thoracic, abdominal, and pelvic plexuses. (Hypogastric plexus is labeled on right, fourth from the bottom.)
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Lower half of right sympathetic cord.
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| Details |
| Identifiers |
| Latin |
plexus hypogastricus superior, nervus presacralis |
| MeSH |
D007001 |
| TA |
A14.3.03.046 |
| FMA |
6642 |
| Anatomical terms of neuroanatomy
[edit on Wikidata]
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The superior hypogastric plexus (in older texts, hypogastric plexus or presacral nerve) is a plexus of nerves situated on the vertebral bodies anterior to the bifurcation of the abdominal aorta.
Contents
- 1 Structure
- 2 Clinical significance
- 3 Additional images
- 4 References
- 5 External links
Structure
From the plexus, sympathetic fibers are carried into the pelvis as two main trunks- the right and left hypogastric nerves- each lying medial to the internal iliac artery and its branches. The right and left hypogastric nerves continues as Inferior hypogastric plexus; these hypogastric nerves send sympathetic fibers to the ovarian and ureteric plexi, which originate within the renal and abdominal aortic sympathetic plexi. The superior hypogastric plexus receives contributions from the two lower lumbar splanchnic nerves (L3-L4), which are branches of the chain ganglia. They also contain parasympathetic fibers which arise from pelvic splanchnic nerve (S2-S4) and ascend from Inferior hypogastric plexus; it is more usual for these parasympathetic fibers to ascend to the left-handed side of the superior hypogastric plexus and cross the branches of the sigmoid and left colic vessel branches, as these parasympathetic branches are distributed along the branches of the inferior mesenteric artery.
Clinical significance
Presacral neurectomy is a lapraoscopic procedure where superior hypogastric plexus is excised, so that the pain pathway is cut off from the spinal column. This procedure is done to manage chronic pelvic pain when medical therapy fails.[1]
Additional images
References
- ^ Chen, FP (January 2000). "Laparoscopic presacral neurectomy for chronic pelvic pain". Chang Gung medical journal. 23 (1): 1–7. PMID 10746403. Retrieved 20 November 2017.
This article incorporates text in the public domain from page 987 of the 20th edition of Gray's Anatomy (1918)
External links
- Autonomics of the Pelvis - Page 4 of 12 anatomy module at med.umich.edu
- posteriorabdomen at The Anatomy Lesson by Wesley Norman (Georgetown University) (posteriorabdmus&nerves)
- pelvis at The Anatomy Lesson by Wesley Norman (Georgetown University) (pelvicsympathnerves)
- figures/chapter_32/32-6.HTM: Basic Human Anatomy at Dartmouth Medical School
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Anatomy of the autonomic nervous system
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| Head |
| Sympathetic |
- Cervical ganglia: roots
- long ciliary
- Deep petrosal
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| 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
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| Neck |
| Sympathetic |
- paravertebral ganglia: Cervical ganglia
- Stellate ganglion
- prevertebral plexus: Cavernous plexus
- Internal carotid
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| 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
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| 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
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| Enteric |
- Submucous plexus
- Myenteric plexus
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| Pelvis |
| Sympathetic |
- paravertebral ganglia: Sacral ganglia
- Ganglion impar
- splanchnic nerves: Sacral splanchnic nerves
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| Parasympathetic |
- splanchnic nerves: Pelvic splanchnic nerves
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UpToDate Contents
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English Journal
- High spatial resolution in vivo magnetic resonance imaging of the human eye, orbit, nervus opticus and optic nerve sheath at 7.0 Tesla.
- Lindner T1, Langner S2, Graessl A3, Rieger J4, Schwerter M3, Muhle M3, Lysiak D3, Kraus O3, Wuerfel J5, Guthoff RF6, Falke K6, Hadlich S2, Krueger PC2, Hosten N2, Niendorf T3, Stachs O6.
- Experimental eye research.Exp Eye Res.2014 Aug;125:89-94. doi: 10.1016/j.exer.2014.05.017. Epub 2014 Jun 11.
- PMID 24928314
- Recurrent head and neck desmoplastic melanoma with perineural spread along the nervus mandibularis revealed by (18)F-FDG PET/CT.
- Balink H1, de Visscher JG2, van der Meij EH2.
- International journal of oral and maxillofacial surgery.Int J Oral Maxillofac Surg.2014 Aug;43(8):941-3. doi: 10.1016/j.ijom.2014.04.004. Epub 2014 May 6.
- This report describes a rare case of recurrent head and neck desmoplastic neurotropic melanoma with perineural spread along the nervus mandibularis. An 87-year-old male presented with a rapidly growing mass on the right side of the chin, 4 years after surgical excision of a desmoplastic non-melanoti
- PMID 24811290
- The neuralgias: diagnosis and management.
- Gadient PM1, Smith JH.
- Current neurology and neuroscience reports.Curr Neurol Neurosci Rep.2014 Jul;14(7):459. doi: 10.1007/s11910-014-0459-3.
- The neuralgias are characterized by pain in the distribution of a cranial or cervical nerve. While most often brief, severe, and paroxysmal, continuous neuropathic pain may occur. The most commonly encountered entities include trigeminal, postherpetic, glossopharyngeal, and occipital neuralgia. More
- PMID 24797269
Related Links
- nervus presacralis 〈ラテン語〉《解剖》仙骨前神経 - アルクがお届けするオンライン英和・和英辞書検索サービス。 語学学習のアルクのサイトがお届けする進化するオンライン英和・和英辞書『英辞郎 on the WEB』。
- 上下腹神経叢；仙骨前神経 - Plexus hypogastricus superior; Nervus presacralis 解剖学的部位 e-Anatomyからの画像つき解剖部位の図解および解剖構造の説明 e-Anatomyをダウンロードする 携帯あるいはタブレットのユーザー ...
- su·pe·ri·or hy·po·gas·tric (nerve) plex·us Synonym(s): plexus (nervosus) hypogastricus superior [TA], nervus presacralis ☆, presacral nerve ☆, Latarget nerve (1) su·pe·ri·or hy·po·gas·tric (nerve) plex·us (sŭ-pēr'ē-ŏr hī'pō-gas'trik nĕrv pleks'ŭs) [TA]
★リンクテーブル★
[★]
- 英
- superior hypogastric plexus
- ラ
- plexus hypogastricus superior
- 同
- 仙骨前神経 presacral nerve nervus presacralis
- 関
- 下腹神経叢
枝
[★]
神経
- 関
- nerve、nervi、nervous、neural、neuro、neuron