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Autonomic regulation of lymphatic flow in the lower extremity demonstrated on lymphoscintigraphy in patients with reflex sympathetic dystrophy.

Identifieur interne : 004689 ( PubMed/Checkpoint ); précédent : 004688; suivant : 004690

Autonomic regulation of lymphatic flow in the lower extremity demonstrated on lymphoscintigraphy in patients with reflex sympathetic dystrophy.

Auteurs : D. Howarth [Australie] ; R. Burstal ; C. Hayes ; L. Lan ; G. Lantry

Source :

RBID : pubmed:10361930

Descripteurs français

English descriptors

Abstract

Nuclear medicine techniques were used to show that the peripheral lymphatics are under autonomic control in much the same way as the blood vessels that supply the same anatomic region.

PubMed: 10361930


Affiliations:


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pubmed:10361930

Le document en format XML

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<title xml:lang="en">Autonomic regulation of lymphatic flow in the lower extremity demonstrated on lymphoscintigraphy in patients with reflex sympathetic dystrophy.</title>
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<name sortKey="Howarth, D" sort="Howarth, D" uniqKey="Howarth D" first="D" last="Howarth">D. Howarth</name>
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<nlm:affiliation>Department of Nuclear Medicine, John Hunter Hospital, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Nuclear Medicine, John Hunter Hospital, New South Wales</wicri:regionArea>
<wicri:noRegion>New South Wales</wicri:noRegion>
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<name sortKey="Burstal, R" sort="Burstal, R" uniqKey="Burstal R" first="R" last="Burstal">R. Burstal</name>
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<name sortKey="Hayes, C" sort="Hayes, C" uniqKey="Hayes C" first="C" last="Hayes">C. Hayes</name>
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<name sortKey="Lan, L" sort="Lan, L" uniqKey="Lan L" first="L" last="Lan">L. Lan</name>
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<name sortKey="Lantry, G" sort="Lantry, G" uniqKey="Lantry G" first="G" last="Lantry">G. Lantry</name>
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<title xml:lang="en">Autonomic regulation of lymphatic flow in the lower extremity demonstrated on lymphoscintigraphy in patients with reflex sympathetic dystrophy.</title>
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<term>Adult</term>
<term>Autonomic Nervous System (physiopathology)</term>
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<term>Leg</term>
<term>Lymph (physiology)</term>
<term>Lymphatic System (innervation)</term>
<term>Lymphatic System (physiopathology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphoscintigraphy</term>
<term>Male</term>
<term>Nerve Block</term>
<term>Reflex Sympathetic Dystrophy (complications)</term>
<term>Reflex Sympathetic Dystrophy (diagnostic imaging)</term>
<term>Reflex Sympathetic Dystrophy (physiopathology)</term>
<term>Skin Temperature</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Bloc nerveux</term>
<term>Dystrophie sympathique réflexe ()</term>
<term>Dystrophie sympathique réflexe (imagerie diagnostique)</term>
<term>Dystrophie sympathique réflexe (physiopathologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphe (physiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Lymphoscintigraphie</term>
<term>Mâle</term>
<term>Système lymphatique (innervation)</term>
<term>Système lymphatique (physiopathologie)</term>
<term>Système nerveux autonome (physiopathologie)</term>
<term>Température cutanée</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Reflex Sympathetic Dystrophy</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Reflex Sympathetic Dystrophy</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Dystrophie sympathique réflexe</term>
</keywords>
<keywords scheme="MESH" qualifier="innervation" xml:lang="en">
<term>Lymphatic System</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Lymphe</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Lymph</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Dystrophie sympathique réflexe</term>
<term>Système lymphatique</term>
<term>Système nerveux autonome</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Autonomic Nervous System</term>
<term>Lymphatic System</term>
<term>Reflex Sympathetic Dystrophy</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
<term>Système lymphatique</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Leg</term>
<term>Lymphoscintigraphy</term>
<term>Male</term>
<term>Nerve Block</term>
<term>Skin Temperature</term>
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<term>Adulte</term>
<term>Bloc nerveux</term>
<term>Dystrophie sympathique réflexe</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphoscintigraphie</term>
<term>Mâle</term>
<term>Température cutanée</term>
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<front>
<div type="abstract" xml:lang="en">Nuclear medicine techniques were used to show that the peripheral lymphatics are under autonomic control in much the same way as the blood vessels that supply the same anatomic region.</div>
</front>
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<PMID Version="1">10361930</PMID>
<DateCreated>
<Year>1999</Year>
<Month>09</Month>
<Day>14</Day>
</DateCreated>
<DateCompleted>
<Year>1999</Year>
<Month>09</Month>
<Day>14</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0363-9762</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>24</Volume>
<Issue>6</Issue>
<PubDate>
<Year>1999</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Clinical nuclear medicine</Title>
<ISOAbbreviation>Clin Nucl Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Autonomic regulation of lymphatic flow in the lower extremity demonstrated on lymphoscintigraphy in patients with reflex sympathetic dystrophy.</ArticleTitle>
<Pagination>
<MedlinePgn>383-7</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Nuclear medicine techniques were used to show that the peripheral lymphatics are under autonomic control in much the same way as the blood vessels that supply the same anatomic region.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Three patients with complex regional pain syndrome type 1 (reflex sympathetic dystrophy) involving a lower extremity were evaluated using three-phase bone scintigraphy and peripheral lymphoscintigraphy. Each patient was treated with ipsilateral chemical lumbar sympathectomy, and lymphoscintigraphy was repeated within several days of the procedure.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All three patients had evidence of decreased flow (compared with the contralateral extremity) to normal flow after ipsilateral sympathectomy. Bone scintigraphy, before and after sympathectomy, was difficult to interpret because of the effects of altered weight bearing. Two patients who had unilateral peripheral edema showed marked improvement after sympathectomy and increased lymphatic flow.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Peripheral lymphatic function is controlled by the autonomic nervous system. In reflex sympathetic dystrophy, peripheral edema may be caused by an increased sympathetic stimulus to the lymphatics. Further study of this phenomenon may show that nuclear medicine studies, such as bone scintigraphy and lymphoscintigraphy, can be used to distinguish patients who will benefit from sympathectomy from those who will not, thereby obviating invasive testing and unnecessary invasive treatment.</AbstractText>
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<LastName>Howarth</LastName>
<ForeName>D</ForeName>
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<Affiliation>Department of Nuclear Medicine, John Hunter Hospital, New South Wales, Australia.</Affiliation>
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<DescriptorName UI="D012019" MajorTopicYN="N">Reflex Sympathetic Dystrophy</DescriptorName>
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