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Canadian Journal of Anesthesia, Vol 17, 504-515, Copyright © 1970 by Canadian Anesthesiologists' Society

Le Reflexe Sympatho-Galvanique (RSG) et la Sympathectomie

JACQUES R. BOUCHER M.D., F.R.C.P.(C)1, MAURICE FALARDEAU M.D., F.R.C.S.(C)2, ROGER PLANTE M.D., F.R.C.S.(C)3, JACQUES AUDET M.D., C.R.C.P.(C)1, and ALAIN JANNARD M.D.4

1 Département de Chirurgie de l'Université de Montréal, Montréal, Québec; l'Hôpital Notre-Dame, Montréal
2 Département de Chirurgie de l'Université de Montréal, Montréal, Québec; Plante sont chirurgiens à l'Hôpital Notre-Dame, Montréal
3 Département de Chirurgie de l'Université de Montréal, Montréal, Québec; Plante sont chirurgiens à l'Hopital Notre-Dame, Montréal
4 Département de Chirurgie de l'Université de Montréal, Montréal, Québec

We have reconsidered the psycho-galvanic reflex as described by Féré and Tarchanoff at the turn of the century and modernized by Lewis in 1955 under the name of sympatho-galvanic reflex (SGR). We have reviewed the cases of 75 patients who have had an SGR for different vascular troubles of the extremities, trying to correlate the presence of sympathetic activity with the results of a surgical sympathectomy.

The diseases involved in this survey were hyperhydrosis, causalgia, Raynaud's disease, Buerger's disease, and peripheral vascular insufficiency with or without ulceration. Our results showed that the more marked the sympathetic activity, the better the chances of surgical success. This has proven to be a reliable guide to success in 27 of 28 patients operated on with marked sympathetic activity, or to failure in eight of nine patients operated on with no sympathetic activity.






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Copyright © 1970 by the Canadian Anesthesiologists' Society.