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Other Sympathetic Disorders:  

   A certain percentage of Angina, Reflex sympathetic dystrophy and pain, Raynaudˇ¦s syndrome, Asthma, Schizophrenia, Social phobia, Rhinitis, Migraine, Tremoring disorders, Parkinsonism ˇK can be treated by sympathetic surgery. Stellate Ganglion Block (SGB) is one of the best method for preoperative evaluation, which is the best way to avoid unnecessary sympathetic operation.

 

Sympathetic Surgery in treatment of  Hypertension:

   

    Sympathetic surgery has been tried to treat Angina and Hypertension for a long time, but its therapeutic mechanism is still obscure.

    After a large series of study of Lin-Telaranta Classification, Dr. Lin found, every specific sympathetic disorder is mainly influenced by a single determinant sympathetic ganglion. Better surgical outcome but less side effects is achieved when surgical procedure is performed on this determinant ganglion. This is Theory of ˇ§Single determinant sympathetic ganglionˇ¨.

    Clinically, about 30% of essential hypertensive patients (high blood pressure) are classified into Sympathetic Hypertensive Syndrome, which can be treated effectively by sympathetic procedure. Better surgical outcome is noted on patients with ages before forty than after forty.

    Sympathetic Hypertensive Syndrome includes: 1) Facial hyperhidrosis or blushing; 2) Blood pressure > 100 mmHg in diastolic pressure; 3) Pulse rate > 100 beats/min, which are also ˇ§Triad of Sympathetic Hypertensive Syndromeˇ¨.

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