PMID: 11329131May 1, 2001Paper

Comparison of sensory and sympathetic innervation of the dura mater and posterior longitudinal ligament in the cervical spine after removal of the stellate ganglion

The Journal of Comparative Neurology
H YamadaY Sugiura

Abstract

Although cervical spinal tissues are rich in sensory and sympathetic fibers, which play a significant role in clinical phenomena, there is little information available regarding their anatomical characteristics. In this study, we compared the innervation of the cervical dura mater and the posterior longitudinal ligament (PLL) to that after removal of the stellate ganglion to determine whether the anatomical background plays a significant role in clinical manifestations. Immunoreactivities for calcitonin gene-related peptide (CGRP) and substance P (SP) were used as sensory markers, and immunoreactivity for neuropeptide Y (NPY) was used as a sympathetic marker. Sensory fibers in the cervical dura mater were distributed within each cervical segment, but those in the PLL extended beyond the segmental borders. A dense sensory fiber network forming a single layer was seen at the intervertebral disc region in the cervical PLL, whereas sympathetic fibers in this region were sparsely distributed. Sympathetic fibers were distributed not only around the vascular wall but also in the region independent from vessels, and some occasionally ran together with sensory fibers in both the dura mater and the PLL. Removal of the stellate ganglion h...Continue Reading

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Citations

Aug 11, 2005·Chiropractic & Osteopathy·Mark W MorningstarTrevor V Ireland
Apr 22, 2014·Histochemistry and Cell Biology·Barbara Waber-WengerMichael Hubert Stoffel
Jul 1, 2016·The Journal of Physiology·Eva V L RoloffJulian F R Paton
Nov 22, 2012·Clinical Spine Surgery : a Spine Publication·Jun LiZhan-Chao Wang
Sep 8, 2019·Surgical and Radiologic Anatomy : SRA·Tina StegmannMario Leimert
Mar 15, 2011·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·G S DedrickM P Smith
Apr 9, 2021·Clinical Spine Surgery : a Spine Publication·Jui-Teng ChienRu-Ping Lee

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