Ganglion cervicale superius: eine anatomische Besonderheit

Wirz, Stefan; Wartenberg, H.; Nadstawek, J.; Kinsky, I

doi:10.1007/s00101-008-1378-y

Cited by 7 publications

(2 citation statements)

References 7 publications

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“…By using a spacer, one can assure an infiltration of the needle at a maximum of 10 mm. Special attention should be put on the anatomical proximity to nervus vagus, nervus glossopharyngeus, nervus hypoglossus, and nervus laryngeus superior as well as to arteria carotis interna [ 3 – 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…GLOA has been reported with virtual absence of major complications up to now. Among the minor complications, primarily, accidental intravasal injection of the buprenorphine is the most common [ 3 , 5 ]. Additionally, respiratory depression, sedation, somnolence, nausea, vomitus, circulatory collapse, and distinct miosis have been reported.…”

Section: Introductionmentioning

confidence: 99%

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Extensive Craniocervical Abscess after Transoral Ganglionic Local Opioid Analgesia at the Superior Cervical Ganglion for Atypical Trigeminal Neuralgia: Report of a Severely Complicated Case

Sproll

Turowski

Depprich

et al. 2018

Case Reports in Medicine

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Ganglionic local opioid analgesia (GLOA) describes the application of low-dose opioids close to sympathetic as, for example, to the superior cervical ganglion. GLOA can be effective in different pain syndromes affecting the head and face region and has been considered to be a safe technique with few complications reported so far. We present the case of a patient who received a single, transoral GLOA for a refractory trigeminal neuralgia. The patient subsequently developed an extensive epidural abscess at the craniocervical junction, requiring ultimately transoral odontoid resection and dorsal stabilisation. This severe complication challenges the role of transoral infiltration therapies in analgetic medicine.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Extensive Craniocervical Abscess after Transoral Ganglionic Local Opioid Analgesia at the Superior Cervical Ganglion for Atypical Trigeminal Neuralgia: Report of a Severely Complicated Case

Sproll

Turowski

Depprich

et al. 2018

Case Reports in Medicine

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Morphological relationship between the superior cervical ganglion and cervical nerves in Japanese cadaver donors

2016

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IntroductionThere are various communications between the superior cervical ganglion (SCG) and the vagus and glossopharyngeal nerves. However, little information exists concerning the origin of these sympathetic ganglion branches at the superior, middle, and inferior regions of the human SCG. The aim of this study was to describe the human SCG in a morphometric manner with the communication with cranial and cervical nerves and supply.MethodsThis study characterized 72 SCG samples from 54 elderly Japanese human cadavers (30 males, 24 females; 65–100 years old). The SCG size (length, width, and thickness) and location were measured from the jugular foramen. We also defined the communication branches of the SCG to the vagus, glossopharyngeal, cervical, and accessory nerves at three regions (superior, middle, and inferior regions) of the SCG. Finally, we examined the arrangement and origin of the branch communications in detail and confirmed our observations, using histological sections of the SCG.ResultsThe SCG in all cadaver donors was detected at the C2 and C3 vertebra levels. The number of SCG branches supplied the communicating branches, such as the carotid branch, communicating branch of the vagus nerve, and glossopharyngeal nerve, were frequently detected in the superior region of the SCG (χ2 = 587.72, df = 26, p < .001). The number of ganglion cells with a large number of neurons per unit area (1 mm2) was most often found in the middle region with shrunken neurons of the SCG compared with other regions.ConclusionThe communication branches of the SCG are mainly connected to the vagus and glossopharyngeal nerves. Characterizing these branches can provide useful data for head and neck ganglion block and surgical treatments.

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Magnetic resonance imaging features of the superior cervical ganglion and expected changes after radiation therapy to the head and neck in a long-term follow-up

et al. 2020

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Ganglion cervicale superius: eine anatomische Besonderheit

Cited by 7 publications

References 7 publications

Extensive Craniocervical Abscess after Transoral Ganglionic Local Opioid Analgesia at the Superior Cervical Ganglion for Atypical Trigeminal Neuralgia: Report of a Severely Complicated Case

Extensive Craniocervical Abscess after Transoral Ganglionic Local Opioid Analgesia at the Superior Cervical Ganglion for Atypical Trigeminal Neuralgia: Report of a Severely Complicated Case

Morphological relationship between the superior cervical ganglion and cervical nerves in Japanese cadaver donors

Magnetic resonance imaging features of the superior cervical ganglion and expected changes after radiation therapy to the head and neck in a long-term follow-up

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