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A morphometric analysis of the superior cervical ganglion and its surrounding structures

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Abstract

Purpose

The aim of this cadaveric study was to detect the superior cervical ganglion (SCG) in a topographic manner according to vertebrae and to determine the relationship between the vertebrae, mandibular angle and longus colli muscle through morphometric analysis.

Methods

The present study was performed on 40 SCG of 20 human cadavers (16 males, 4 females). The level of the SCG was determined based on the vertebrae. Ganglion length, width and thickness were detected. Distance to the adjacent vertebra, the mandibular angle and medial side of the longus colli muscle were measured. The results were evaluated statistically.

Results

The SCG existing in all cadavers was detected at the C2 vertebra level in 34 cadavers and at the C3 vertebra level in 6 cadavers. The average length, width and thickness of the SCG were 15.18 ± 1.12, 4.62 ± 0.25, and 1.83 ± 0.10 mm, respectively. No statistically significant difference was detected in terms of the distances between the ganglion and anterior tubercle of transverse processes of the vertebrae as well as the mandibular angle on either side. The distance between the SCG and the medial edge of the longus colli muscle was significantly greater on the left side in both men (p < 0.001) and women (p < 0.01).

Conclusion

Recognition of morphometric characteristics of the SCG and detection of its location according to adjacent formations may serve as a guide for nerve blockage studies and help surgeons to preserve the ganglion in both anterior and anterolateral cervical approaches.

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References

  1. Ahcin LT (2010) Superior cervical ganglia. Bell’s palsy—neuroanatomy, pp 1–3

  2. Bhatnagar KP, Nettleton GS, Kuwabara N, Wagner CE, Campbell FR (2003) A case of bilateral ectopic superior cervical ganglia in man. Ann Anat 185(2):149–152

    Article  PubMed  Google Scholar 

  3. Civelek E, Karasu A, Cansever T, Hepgul K, Kiris T, Sabancı A, ve Canbolat A (2008) Surgical anatomy of the cervical sympathetic trunk during anterolateral approach to cervical spine. Eur Spine J 17(8):991–995

    Article  PubMed  PubMed Central  Google Scholar 

  4. Cloward RB (1958) The anterior approach for removal of ruptured cervical disks. J Neurosurg 15:602–617

    Article  CAS  PubMed  Google Scholar 

  5. Elias M (2000) Cervical sympathetic and stellate ganglion blocks. Pain Physician 3(3):294–304

    CAS  PubMed  Google Scholar 

  6. Elsner F, Radbruch L, Gaertner J, Straub U, Sabatowski R (2006) Efficacy of opioid analgesia at the superior cervical ganglion in neuropathic head and facial pain. Schmerz 20(4):268–272, 274–276

  7. Hadley MN, Sonntag VK (1993) Cervical disc herniations. The anterior approach to symptomatic interspace pathology. Neurosurg Clin N Am 4(1):45–52

    CAS  PubMed  Google Scholar 

  8. Harris CL, Hamid B, Rosenquist RW, Schultz-Stubner SH (2006) Ganglionic local opioid application (GLOA) for treatment of chronic headache and facial pain. Reg Anesth Pain Med 31(5):460–462

    Article  CAS  PubMed  Google Scholar 

  9. Kiray A, Arman C, Naderi S, Guvencer M, Korman E (2005) Surgical anatomy of the cervical sympathetic trunk. Clin Anat 18:179–185

    Article  CAS  PubMed  Google Scholar 

  10. Matz PG, Pritchard PR, Hadley MN (2007) Anterior cervical approach for the treatment of cervical myelopathy. Neurosurgery 60(1 Suppl 1):64–70

    Google Scholar 

  11. Moore KL (1992) Clinically oriented anatomy, 3rd edn. Williams & Wilkins, Baltimore, p 814

    Google Scholar 

  12. Peng CW, Chou BT, Bendo JA, Spivak JM (2009) Vertebral artery injury in cervical spine surgery: anatomical considerations, management, and preventive measures. Spine J 9(1):70–76

    Article  PubMed  Google Scholar 

  13. Robinson RA, Smith GW (1955) Anterolateral cervical disc removal and interbody fusion for cervical disc syndrome. Bull Johns Hopkins Hosp 96:223–224

    Google Scholar 

  14. Russell SM, Benjamin V (2004) The anterior surgical approach to the cervical spine for intervertebral disc disease. Neurosurgery 54(5):1144–1149

    Article  PubMed  Google Scholar 

  15. Saylam CY, Ozgiray E, Orhan M, Cagli S, Zileli M (2009) Neuroanatomy of cervical sympathetic trunk: a cadaveric study. Clin Anat 22(3):324–330

    Article  PubMed  Google Scholar 

  16. Siegenthaler A, Haug M, Eichenberger U, Suter MR, Moriggl B (2010) Block of the superior cervical ganglion, description of a novel ultrasound-guided technique in human cadavers. Pain Med 14(5):646–649

    Article  Google Scholar 

  17. Smith GW, Robinson RA (1958) The treatment of certain cervicalspine disorders by anterior removal of the intervertebral disc and interbody fusion. J Bone Joint Surg Am 40-A:607–624

    CAS  PubMed  Google Scholar 

  18. Spacek A, Hanl G, Groiss O, Koinig H, Kress HG (1998) Acupuncture and ganglionic local opioid analgesia in trigeminal neuralgia. Wien Med Wochenschr 148(19):447–449

    CAS  PubMed  Google Scholar 

  19. Standring SM (ed) (2005) Gray’s anatomy, 39th edn. Churchill Livingstone, New York, p 559

    Google Scholar 

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Authors and Affiliations

  1. Department of Anatomy, Selcuk University Faculty of Medicine, 42130, Konya, Turkey

    Zeliha Fazliogullari & Ahmet Kagan Karabulut

  2. Department of Anatomy, Faculty of Medicine, Gulhane Military Medical Academy, Ankara, Turkey

    Cenk Kilic & Fatih Yazar

Authors
  1. Zeliha Fazliogullari
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  2. Cenk Kilic
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  3. Ahmet Kagan Karabulut
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  4. Fatih Yazar
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Corresponding author

Correspondence to Zeliha Fazliogullari.

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The authors have not declared any conflict of interest.

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Fazliogullari, Z., Kilic, C., Karabulut, A.K. et al. A morphometric analysis of the superior cervical ganglion and its surrounding structures. Surg Radiol Anat 38, 299–302 (2016). https://doi.org/10.1007/s00276-015-1551-3

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  • DOI: https://doi.org/10.1007/s00276-015-1551-3

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