Sono-anatomy of the middle cervical sympathetic ganglion verified with pathology

Objectives: Cervical discomfort and other symptoms may be attributable to the middle cervical sympathetic ganglion. The aim of this study was to explore the sonographic features of this ganglion in anatomical specimens and cadavers and evaluate the feasibility of its visualization using high-resolut...

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Main Authors: Yu-Tao Lei, Yun-Xia Hao, Zhen Yang, Zhuo-Hua Lin, Wen Qin, Jun-Hao Yan, Yang Sun, Li-Gang Cui, Ying Fu
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024002627
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author Yu-Tao Lei
Yun-Xia Hao
Zhen Yang
Zhuo-Hua Lin
Wen Qin
Jun-Hao Yan
Yang Sun
Li-Gang Cui
Ying Fu
author_facet Yu-Tao Lei
Yun-Xia Hao
Zhen Yang
Zhuo-Hua Lin
Wen Qin
Jun-Hao Yan
Yang Sun
Li-Gang Cui
Ying Fu
author_sort Yu-Tao Lei
collection DOAJ
description Objectives: Cervical discomfort and other symptoms may be attributable to the middle cervical sympathetic ganglion. The aim of this study was to explore the sonographic features of this ganglion in anatomical specimens and cadavers and evaluate the feasibility of its visualization using high-resolution ultrasonography. Methods: We examined three cervical sympathetic-ganglion specimens and two fresh cadavers using high-resolution ultrasound to explore the sonographic features of this ganglion. Basic imaging characteristics examined included the shape, echo intensity, and location of the ganglion. Core-needle biopsy was performed to examine the suspected middle cervical sympathetic ganglion in the two fresh cadavers and verify the accuracy of the sonographic identification via pathological examination. Results: The middle cervical sympathetic ganglion appeared on high-resolution ultrasonography as an oval-shaped hypoechoic structure, with at least one continuous hypoechoic line connected to each ending in the anatomical specimens and fresh cadavers, and it was distinctly different from the adjacent lymph nodes. Discussion: Based on an adequate understanding of both its location and sonographic features, the direct visualization of the middle cervical sympathetic ganglion using high-resolution ultrasonography is feasible.
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spelling doaj.art-370d12cf7337466886eb301b5964ff892024-02-03T06:36:39ZengElsevierHeliyon2405-84402024-01-01102e24231Sono-anatomy of the middle cervical sympathetic ganglion verified with pathologyYu-Tao Lei0Yun-Xia Hao1Zhen Yang2Zhuo-Hua Lin3Wen Qin4Jun-Hao Yan5Yang Sun6Li-Gang Cui7Ying Fu8Department of General Surgery, Peking University Third Hospital, Beijing , ChinaDepartment of Ultrasound, Peking University Third Hospital, Beijing, ChinaDepartment of Ultrasound, Peking University Third Hospital, Beijing, ChinaDepartment of Ultrasound, Peking University Third Hospital, Beijing, ChinaDepartment of Ultrasound, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang City, Hubei Province, ChinaDepartment of Anatomy and Embryology, School of Basic Medical Sciences, Peking University, Beijing, ChinaDepartment of Ultrasound, Peking University Third Hospital, Beijing, ChinaDepartment of Ultrasound, Peking University Third Hospital, Beijing, China; Corresponding author.Department of Ultrasound, Peking University Third Hospital, Beijing, ChinaObjectives: Cervical discomfort and other symptoms may be attributable to the middle cervical sympathetic ganglion. The aim of this study was to explore the sonographic features of this ganglion in anatomical specimens and cadavers and evaluate the feasibility of its visualization using high-resolution ultrasonography. Methods: We examined three cervical sympathetic-ganglion specimens and two fresh cadavers using high-resolution ultrasound to explore the sonographic features of this ganglion. Basic imaging characteristics examined included the shape, echo intensity, and location of the ganglion. Core-needle biopsy was performed to examine the suspected middle cervical sympathetic ganglion in the two fresh cadavers and verify the accuracy of the sonographic identification via pathological examination. Results: The middle cervical sympathetic ganglion appeared on high-resolution ultrasonography as an oval-shaped hypoechoic structure, with at least one continuous hypoechoic line connected to each ending in the anatomical specimens and fresh cadavers, and it was distinctly different from the adjacent lymph nodes. Discussion: Based on an adequate understanding of both its location and sonographic features, the direct visualization of the middle cervical sympathetic ganglion using high-resolution ultrasonography is feasible.http://www.sciencedirect.com/science/article/pii/S2405844024002627CadaverGangliaSympatheticPathologyUltrasonography
spellingShingle Yu-Tao Lei
Yun-Xia Hao
Zhen Yang
Zhuo-Hua Lin
Wen Qin
Jun-Hao Yan
Yang Sun
Li-Gang Cui
Ying Fu
Sono-anatomy of the middle cervical sympathetic ganglion verified with pathology
Heliyon
Cadaver
Ganglia
Sympathetic
Pathology
Ultrasonography
title Sono-anatomy of the middle cervical sympathetic ganglion verified with pathology
title_full Sono-anatomy of the middle cervical sympathetic ganglion verified with pathology
title_fullStr Sono-anatomy of the middle cervical sympathetic ganglion verified with pathology
title_full_unstemmed Sono-anatomy of the middle cervical sympathetic ganglion verified with pathology
title_short Sono-anatomy of the middle cervical sympathetic ganglion verified with pathology
title_sort sono anatomy of the middle cervical sympathetic ganglion verified with pathology
topic Cadaver
Ganglia
Sympathetic
Pathology
Ultrasonography
url http://www.sciencedirect.com/science/article/pii/S2405844024002627
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