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The sympathetic trunk is a fundamental part of the sympathetic nervous system, and part of the autonomic nervous system. It allows nerve fibres to travel to spinal nerves that are superior and inferior to the one in which they originated. Also, a number of nerves, such as most of the splanchnic nerves, arise directly from the trunks.
The thoracic ganglia are paravertebral ganglia.The thoracic portion of the sympathetic trunk typically has 12 thoracic ganglia.Emerging from the ganglia are thoracic splanchnic nerves (the cardiopulmonary, the greater, lesser, and least splanchnic nerves) that help provide sympathetic innervation to thoracic and abdominal structures.
The bilaterally symmetric sympathetic chain ganglia, also called the paravertebral ganglia, are located just ventral and lateral to the spinal cord. [3] The chain extends from the upper neck down to the coccyx, forming the unpaired ganglion impar. Ganglia within this chain are either cervical, thoracic, lumbar, or sacral.
Thoracic splanchnic nerves are splanchnic nerves that arise from the sympathetic trunk in the thorax and travel inferiorly to provide sympathetic supply to the abdomen. The nerves contain preganglionic sympathetic fibers and general visceral afferent fibers.
The sympathetic nervous system extends from the thoracic to lumbar vertebrae and has connections with the thoracic, abdominal, and pelvic plexuses. Sympathetic nerves arise from near the middle of the spinal cord in the intermediolateral nucleus of the lateral grey column , beginning at the first thoracic vertebra of the vertebral column and ...
Once they synapse in the sympathetic ganglion in the sympathetic trunk, they exit the trunk as gray rami to join the spinal nerve and innervate the appropriate structure. Even though the sympathetic trunk extends below L2, there are no more white rami communicantes below L2 because the intermediolateral cell column ends before this. The fibers ...
Endoscopic thoracic sympathectomy (ETS) is a surgical procedure in which a portion of the sympathetic nerve trunk in the thoracic region is destroyed. [1] [2] ETS is used to treat excessive sweating in certain parts of the body (focal hyperhidrosis), facial flushing, Raynaud's disease and reflex sympathetic dystrophy.
The esophageal plexus (oesophageal plexus in British-English) is formed by nerve fibers from two sources, branches of the vagus nerve, [1] [2] and visceral branches of the sympathetic trunk. [3] [4] The esophageal plexus and the cardiac plexus contain the same types of fibers and are both considered thoracic autonomic plexus.