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Surgical Endoscopy
Published in: Surgical Endoscopy 9/2003

01-09-2003 | Case report

A thoracoscopic view of the nerve of Kuntz

Authors: L. Ramsaroop, B. Singh, J. Moodley, P. Partab, N. Pather, K. S. Satyapal

Published in: Surgical Endoscopy | Issue 9/2003

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Abstract

The nerve of Kuntz and alternate neural pathways (ANPs) have long been considered crucial for upper limb sympathetic supply. However, at thoracoscopy, these structures are neither consistently identified nor searched for. This is probably reflective of the effectiveness of an isolated second thoracic ganglionectomy for upper limb sympathectomy. We present the case of a 19-year-old male who underwent a second thoracic ganglionectomy for palmar hyperhidrosis. On the left side, approximately 2.5 cm lateral to the typically located sympathetic chain, a filamentous structure (one-quarter the diameter of the sympathetic chain), identified as the nerve of Kuntz, was noted coursing across the neck of the second rib.
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Metadata
Title
A thoracoscopic view of the nerve of Kuntz
Authors
L. Ramsaroop
B. Singh
J. Moodley
P. Partab
N. Pather
K. S. Satyapal
Publication date
01-09-2003
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 9/2003
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-002-4555-0

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