Symposium on pathological blushing and sweating

Gelderman, P. W.; Baljet, B.; Groen, Gerbrand J.; Meer, C. van der; Lemmens, H. A. J.; Drukker, J.; Wittmoser, R.; Siemens, Hermann Werner; Swinkels, J. A.

doi:10.1007/bf01418805

Cited by 9 publications

(6 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The causes of recurrent hyperhidrosis after sympathectomy by VATS are reported to be multifactorial and include an incomplete sympathetic nerve at the origin of the sympathetic nerve, encountered in 20% of patients in whom the sympathetic nerve originates from the first thoracic sympathetic ganglion (inferior to the stellate ganglion), bypassing the sympathetic ganglion by the Kuntz fiber and connecting to the brachial plexus, as well as local regeneration of the resected nerve. [10][11][12][13] To prevent recurrence, detection and accurate localization of the second sympathetic ganglion, confirmation of anatomic variations of the accessory nerve, the accessory ganglion, and the Kuntz fibers, as well as resection of a broad margin of 3 to 5 cm around the second sympathetic ganglion is necessary. 14,15 The adequacy of the sympathectomy can be monitored by measuring bilateral palmar surface temperatures or by measuring plethysmographic blood flow.…”

Section: Discussionmentioning

confidence: 99%

Reoperation for Essential Hyperhidrosis

Yoon

Lee

Kim

et al. 1999

Asian Cardiovasc Thorac Ann

View full text Add to dashboard Cite

Palmar hyperhidrosis has a recurrence rate of 0% to 5% after thoracic sympathectomy. From January 1992 to October 1997, thoracic sympathectomy was performed by video-assisted thoracoscopic surgery for hyperhidrosis in 490 patients of whom 5 (2 male and 3 female with a mean age of 20 years) experienced recurrent hyperhidrosis in the early (< 7 days) or late (up to 6 months) postoperative period. All patients had moderate to severe pleural adhesions in the previous sympathectomy sites but no operative complications or crossover to thoracotomy occurred. Surgery resulted in satisfactory outcomes showing that video-assisted thoracoscopic sympathectomy was effective in treating recurrent hyperhidrosis. Prevention of recurrence requires the identification and resection of the second thoracic sympathetic ganglion as well as the Kuntz fibers.

show abstract

Section: Discussionmentioning

confidence: 99%

Reoperation for Essential Hyperhidrosis

Yoon

Lee

Kim

et al. 1999

Asian Cardiovasc Thorac Ann

View full text Add to dashboard Cite

show abstract

“…Functional peripheral circulatory disturbances like blushing are found in about 50% of HH patients [5,6], which can be explained by the common course of vasound sudomotor fibers. Patients with FB suffer from sympathetically elicited attacks of redness in the face and sometimes also in the neck and upper chest.…”

Section: Characteristics Of Facial Hyperhidrosis and Blushingmentioning

confidence: 99%

“…Preganglionic neurones synapse with postganglionic neurones in the sympathetic trunk. However, several alternative pathways have been described, partly by-passing the sympathetic rami [6].…”

Section: Pathophysiological Basics Of Facial Hyperhidrosis and Blushingmentioning

confidence: 99%

“…Preganglionic neurones are mainly located in the intermediomedial and intermediolateral columns of the spinal cord deriving primarily from the segments C8 to L2. Sudomotor innervation is mediated postganglionic-sympathetic and adrenergic, whereas vasomotor innervation is postganglionic-sympathetic but cholinergic [6].…”

Section: Pathophysiological Basics Of Facial Hyperhidrosis and Blushingmentioning

confidence: 99%

“…Detailed anatomical basics of the sympathetic system are described elsewhere [6,17,18]. In short, FH and FB are related to vasomotor and sudomotor fibers.…”

Section: Pathophysiological Basics Of Facial Hyperhidrosis and Blushingmentioning

confidence: 99%

See 2 more Smart Citations

Surgical treatment of facial hyperhidrosis and blushing: mid-term results after endoscopic sympathetic block and review of the literature

et al. 2005

View full text Add to dashboard Cite

Zusammenfassung. Grundlagen: Faziale Hyperhidrose (FH) und faziales "Blushen" (FB) sind durch gesteigerte Sympathikusaktivität verursachte Erkrankungen, die zu Dermatosen und psychischen Problemen führen. Patienten versuchen durch sozialen Rückzug derartige Attacken in der Öffentlichkeit zu vermeiden, wodurch eine Sozialphobie entstehen kann. Die limitierte endoskopische Sympathikusblockade (ESB) wurde als Therapie empfohlen, da neben einer möglichen Reversibilität eine Reduktion unerwünschter Begleiteffekte wie compensatorisches and gustatorisches Schwitzen (CS und GS) beschrieben wurde. Ergebnisse einer prospektiv erhobenen Datenbank von Patienten mit FB, die mittels ESB in Höhe von T2 und von solchen mit FH, die mittels ESB in Höhe von T3 versorgt wurden, werden präsentiert.Methodik: An 57 Patienten wurden 113 Eingriffe zwischen 6/2001 und 9/2004 durchgeführt. 27 Patienten mit FB und 30 mit FH wurden behandelt. Der mittlere Nachbeobachtungszeitraum betrug 20,4 Monate, Daten konnten von 96 % der Patienten erhoben werden. Behandlungserfolg, Patientenzufriedenheit und unerwünschte Begleiteffekte wurden evaluiert. Zusätzlich wird eine Über-sicht über Eigenheiten dieser Krankheitsbilder, deren pathophysiologischer Grundlage sowie über konservative und chirurgische Behandlungsformen geboten.Ergebnisse: Die Erfolgsrate war in beiden Gruppen annähernd gleich hoch. 96,2 % und 82,8 % der Patienten konnten vom FB und von FH geheilt werden. Weitere 3,8 % und 10,3 % gaben eine merkliche Verbesserung ihrer Beschwerden an. Die Patientenzufriedenheit war mit rund 80 % in beiden Gruppen gleich hoch, weitere 10 % waren zumindest großteils zufrieden. CS war selten verglichen mit anderen Methoden in der Sympathikuschirugie. Nur 23,1 % und 27,6 % der Patienten waren nach ESB2 beziehungsweise ESB3 betroffen. GS war relativ häufig (rund 50 %) in beiden Gruppen, beeinträchtigte die Patienten im täglichen Leben aber nicht.Schlussfolgerungen: Mittels endoskopischer Sympathikusblockade werden in der Behandlung von FB und FH hervorragende Erfolgsraten erzielt. Da die Rate an CS im Vergleich zu anderen Eingriffen in der Sympathikuschirurgie um rund 50 % niedriger ist, darf diese Art der chirurgischen Behandlung in jenen Fällen, wo konservative Therapiemaßnahmen versagen, ausdrücklich empfohlen werden.Schlüsselwörter: faziale Hyperhidrose, Erythrophobie, Sozialphobie, Sympathektomie, endoskopische Sympathikusblockade.Summary. Background: Facial hyperhidrosis (FH) and facial blushing (FB) are sympathetically mediated attacks causing dermatological diseases and psychological impairment. As a result, avoidant behaviour can lead to social phobia. Limited endoscopic sympathetic block (ESB) has been recommended, as potential reversibility and reduction of unwanted side-effects such as compensatory and gustatory sweating (CS and GS) have been described. We present midterm results of a prospectively collected database of patients treated by ESB at T2 for FB and at T3 for FH.Methods: 113 procedures (57 patients) were carried out from 6/2001 to 9/20...

show abstract

Nerves and nerve plexuses of the human vertebral column

Groen¹,

Baljet²,

Drukker³

1990

Am. J. Anat.

308

149

View full text Add to dashboard Cite

The origin, distribution, and termination pattern of nerves supplying the vertebral column and its associated structures have been studied in the human fetus by means of an acetylcholinesterase whole-mount method. The vertebral column is surrounded by ventral and dorsal nerve plexuses which are interconnected. The ventral nerve plexus consists of the nerve plexus associated with the anterior longitudinal ligament. This longitudinally oriented nerve plexus has a bilateral supply from many small branches of the sympathetic trunk, rami communicantes, and perivascular nerve plexuses of segmental arteries. In the thoracic region, the ventral nerve plexus also is connected to the nerve plexuses of costovertebral joints. The dorsal nerve plexus is made up of the nerve plexus associated with the posterior longitudinal ligament. This nerve plexus is more irregular and receives contributions only from the sinu-vertebral nerves. The sinu-vertebral nerves originate from the rami communicantes and, in the cervical region, also from the nerve plexus of the vertebral artery. Thick and thin sinu-vertebral nerves are found. Most frequently three types of thick sinu-vertebral nerves are observed, i.e., ascending, descending, or dichotomizing ones. Finally, the distribution of the branches of the ventral and dorsal nerve plexuses and of the sinu-vertebral nerves is described.

show abstract

Symposium on pathological blushing and sweating

Cited by 9 publications

References 29 publications

Reoperation for Essential Hyperhidrosis

Reoperation for Essential Hyperhidrosis

Surgical treatment of facial hyperhidrosis and blushing: mid-term results after endoscopic sympathetic block and review of the literature

Nerves and nerve plexuses of the human vertebral column

Contact Info

Product

Resources

About