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Titolo:
Patterns of palmar skin temperature alterations during transthoracic endoscopic T2 sympathectomy for palmar hyperhidrosis
Autore:
Lu, K; Liang, CL; Cho, CL; Cheng, CH; Yen, HL; Rau, CS; Tsai, YD; Chen, HJ; Lee, TC;
Indirizzi:
Chang Gung Mem Hosp, Dept Neurosurg, Niao Sung Hsiang 833, Kaohsiung Hsien, Taiwan Chang Gung Mem Hosp Niao Sung Hsiang Kaohsiung Hsien Taiwan 833 n, Taiwan Natl Sun Yat Sen Univ, Dept Biol Sci, Kaohsiung 80424, Taiwan Natl Sun YatSen Univ Kaohsiung Taiwan 80424 ci, Kaohsiung 80424, Taiwan
Titolo Testata:
AUTONOMIC NEUROSCIENCE-BASIC & CLINICAL
fascicolo: 1-2, volume: 86, anno: 2000,
pagine: 99 - 106
SICI:
1566-0702(200012)86:1-2<99:POPSTA>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
SPINAL-CORD; INNERVATION; NEURONS; HAND;
Keywords:
palmar skin temperature; T2 sympathectomy; palmar hyperhidrosis; sympathetic modulation; sudomotor activity; vasomotor activity;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Lu, K Chang Gung Mem Hosp, Dept Neurosurg, 123 Ta Pei Rd, Niao Sung Hsiang833, Kaohsiung Hsien, Taiwan Chang Gung Mem Hosp 123 Ta Pei Rd Niao Sung Hsiang Kaohsiung Hsien Taiwan 833
Citazione:
K. Lu et al., "Patterns of palmar skin temperature alterations during transthoracic endoscopic T2 sympathectomy for palmar hyperhidrosis", AUTON NEURO, 86(1-2), 2000, pp. 99-106

Abstract

Transthoracic endoscopic T2 sympathectomy has been widely applied to the treatment of a variety of sympathetically mediated disorders. Palmar hyperhidrosis is probably the most common indication for thoracic sympathectomy. especially in certain subtropical areas. Which sympathetic ganglion is to beablated and how extensive such ablation is enough to eliminate palm sweating are two important issues. Intraoperative monitoring of palmar skin temperature (PST) is the most frequently used method for assessing the accuracy as well as adequacy of ablation of the target sympathetic ganglia. With continuous monitoring of bilateral PST during the operative course of T2 sympathectomy, it was possible to depict the alterations of bilateral PST in response to specific surgical procedures in a real-time manner. For each case,a PST graph was obtained, which represented the graphical expression of intraoperatively recorded bilateral PST data plotted against time. The PST graphs of 93 consecutive cases were analysed. Three types of PST graphs existed, reflecting different responses of bilateral PST to different surgical procedures during the operation. In Type I PST graph pattern, found in 58 cases, skin incision and intercostal muscle dissection caused dramatic bilateral PST drop; and unilateral T2 sympathectomy induced synchronous bilateralPST elevation. Twenty-four cases demonstrated Type II PST graph pattern, in which unilateral T2 sympathectomy caused only ipsilateral PST elevation, although the PST-depressing effect of skin incision and muscle dissection was as significant as in Type I graph pattern. In the 11 cases who showed Type III PST graph pattern, neither skin incision nor T2 sympathectomy induced any apparent changes of PST on either side, giving rise to two rather RatPST curves on the PST graphs. These findings implicate that reciprocal interactions between bilateral sympathetic activities exist in the majority ofcases, and that crossover sympathetic modulation may play a role in the neural control of the sudomotor and vasomotor activities of the palms. This study also provides information regarding how PST would possibly change following specific surgical procedures during transthoracic endoscopic T2 sympathectomy, which may be of importance to those who use intraoperative PST monitoring as a guide in determining whether or not the correct sympathetic ganglia are ablated for adequate sympathetic denervation of the palms. (C) 2000 Elsevier Science B.V. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/21 alle ore 12:44:39