This myelinated division can then enter the sympathetic chain.
2.
The operation is accomplished by dissecting the nerve tissue of the main sympathetic chain.
3.
Sympathetic input to the gut comes from the sympathetic chain next to the thoracic vertebrae.
4.
Upon exiting the sympathetic chain, the fibres enter a less-myelinated gray ramus communicans.
5.
No reliable operation exists for foot sweating except lumbar sympathectomy, at the opposite end of the sympathetic chain.
6.
The most common area targeted in sympathectomy is the upper thoracic region, that part of the sympathetic chain lying between the first and fifth thoracic vertebrae.
7.
In the mammalian fetal development ( fourth to fifth week in humans ), neuroblast cells migrate from the neural crest to form the sympathetic chain and preaortic ganglia.
8.
The other main surgical option is endoscopic thoracic sympathectomy ( ETS ), which cuts, burns, or clamps the thoracic ganglion on the main sympathetic chain that runs alongside the spine.
9.
Interruption of the sympathetic chain at any level ( from the brainstem to the ciliary ganglion ) will produce pupillary constriction ( miosis ) and eyelid droop ( ptosis ) the classic signs of Horner's syndrome.
10.
The upper nerve supply arrives from cell bodies at the levels of T5-T9, leaves the sympathetic chain by the least splanchic nerve arises from T12 and leaves the sympathetic chain to synapse at the " renal plexus ."
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