Description
The cervicothoracic ganglion, also known as the stellate ganglion, is typically a fusion of the most inferior cervical ganglion and the most superior thoracic ganglion of the sympathetic chain. It is a bilateral paravertebral ganglion that contains postganglionic sympathetic neuronal cell bodies and transmits preganglionic sympathetic axons.
The cervicothoracic ganglion is located anterior to the neck of the first rib, posterior to the origin of the vertebral artery, and superior to the pleura. It lies medial to the scalene muscles and lateral to the longus colli muscle.
Fibers leaving the cervicothoracic ganglion travel along the vertebral and subclavian arteries, gray rami communicantes to the anterior rami of the sixth to eighth cervical nerves, and the inferior cervical cardiac nerve to the cardiac plexuses. Targets of the cervicothoracic ganglion include the head, neck, upper limbs, and thorax (Marcer et al., 2012).
Related parts of the anatomy
List of Clinical Correlates
—Raynaud’s disease
—Hyperhydrosis
References
Marcer, N., Bergmann, M., Klie, A., Moor, B. and Djonov, V. (2012) 'An anatomical investigation of the cervicothoracic ganglion', Clin Anat, 25(4), pp. 444-51.
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Stellate Ganglion
Stellate ganglion block (SGB) is a percutaneous procedure that involves the injection of local anesthetics into the stellate ganglion, which is a collection of sympathetic nerves in the neck.
