The role of cervical sympathetic nervous system in secretions of stress or pineal hormone: a hypothesis

Autor: Hiroshi Iwama, Syoraku Son, Kazuhiro Watanabe
Rok vydání: 2001
Předmět:
Zdroj: The Pain Clinic. 13:233-244
ISSN: 1568-5691
0169-1112
Popis: Cervical sympathetic nerves may affect blood adrenocorticotropic hormone (ACTH), cortisol (CS), melatonin or serotonin levels. We examined whether stellate ganglion block (SGB), which inhibits this nerve conduction, affects these substances. Five types of studies were performed: ACTH and CS were measured before and after SGB. Gastrectomy patients received general anesthesia (GA), general–epidural anesthesia (EPI), GA with SGB or EPI with SGB, and ACTH and CS were measured during surgery. Melatonin and serotonin were measured before and after SGB. In rats, melatonin and serotonin were measured at midnight during dark, light, light with right or bilateral cervical sympathectomy. Melatonin and serotonin were measured during the perioperative period in gastrectomy patients. As a result, SGB did not affect ACTH and CS levels. EPI with SGB showed lower values of ACTH or CS. SGB or cervical sympathectomy did not affect melatonin circadian rhythm and serotonin levels. During surgery, melatonin circadian r...
Databáze: OpenAIRE