[Morphology of the ganglion cervicale superius in human fetuses and an adult].
Morphology of the ganglion cervicale superius (GCS) was studied on 16 sides of 10 human fetuses and the 2 sides of an adult cadaver with a binocular stereomicroscope. The obtained results were as follows. GCS is fusiform on 8 sides, takes the form of an eggplant on 3 sides, and is weakly constricted on 7 sides. The GCS was symmetrical in 2 cases. The GCS lay slightly above the first cervical vertebra and extended downward to the superior half of the second cervical vertebra on 11 sides of fetuses. The level in the adult is lower than in the fetuses by one vertebra. The nervus caroticus internus (CI), originating from the superior pole of the GCS as a cephalic prolongation, comprises one bundle on 14 sides, and splits into 2 bundles in the original position on 4 sides. The Nn. carotici externi (CE) arise from the medial part of the superior half of the GCS with several roots (the average number of roots: 3.4) on 17 sides. The CE communicates with the Rami pharyngei of the N. vagus and the N. laryngeus superior. The Rr. laryngopharyngei arise from CE on many sides. The N. jugularis originates from the laterosuperior side of GCS with one to three branches. On a few sides, the N. jugularis communicates with the N. vagus and the N. hypoglossus. The communicating branch between the Ggl. inferius of the N. vagus and the GCS was observed in all cases. The communicating branch between the R. ventralis of the Nn. cervicales and GCS is found in all sides, and the lower limit of the branch is at the ansa from C3 to C4. The Rr. laryngopharyngei (RL) arise from the medial part of the GCS with several branches near the CE, or it may arise from the CE or from both the GCS and the CE, and join with the N. laryngeus superior (laryngeal branch of RL:RL1), the Plexus pharyngeus (pharyngeal branch of RL:RL2) and CE (RL1 and RL2). It is found in a few sides that RL directly extends to the pharyngeal and laryngeal portions. The N. cardiacus cervicalis superior (CS), which originates from the anteroinferior portion or the inferior pole of the GCS, was found on all fetal sides. The average number of CS is 2.9. Some nerves, crossing from the CI to the root of CE over the A. carotis interna, were recognized on 15 sides of the fetuses and on both sides of the adult.(ABSTRACT TRUNCATED AT 250 WORDS)
Hara
I
I
Department of Anatomy, Nippon Medical School, Tokyo, Japan.
Tanuma
K
K
Suzuki
K
K
D000328:Adult; D002339:Carotid Arteries / Q000196:embryology / Q000294:innervation; D005333:Fetus / Q000033:anatomy & histology; D006801:Humans; D017783:Superior Cervical Ganglion / Q000033:anatomy & histology* / Q000196:embryology; D014630:Vagus Nerve / Q000033:anatomy & histology / Q000196:embryology