Rossitti S L, Araújo J F, Zuiani A R, Balbo R J
Departamento de Neuro-Psiquiatria da Faculdade de Ciéncias Médicas da Pontificia Universidade Católica de Campinas.
Arq Neuropsiquiatr. 1989 Jun;47(2):182-6. doi: 10.1590/s0004-282x1989000200009.
Oropharyngeal pain was referred by five fully conscious and collaborative patients during lateral suboccipital puncture (LSP) of the cisterna magna, performed for myelography and/or cerebrospinal fluid collection. The anastomotic connections between the lower cranial nerves, the sympathetic nerves and the upper cervical spinal nerves are reviewed, with emphasis on the relationship between the first cervical nerve (C1), the superior cervical ganglion of the sympathetic trunk, and the spinal accessory nerve (nerve XI), and their central connections. The authors conclude that pharyngeal pain during LSP is provoked by the stimulation of afferent visceral fibers of C1, or of the gray communicating branches of the superior cervical ganglion to C1.
在为进行脊髓造影和/或采集脑脊液而对枕大池进行枕下外侧穿刺（LSP）的过程中，5名意识完全清醒且配合的患者出现了口咽疼痛。本文回顾了下颅神经、交感神经和上颈段脊神经之间的吻合连接，重点关注第一颈神经（C1）、交感干颈上神经节和副神经（第十一神经）之间的关系及其中枢连接。作者得出结论，LSP期间的咽部疼痛是由C1的传入内脏纤维或颈上神经节至C1的灰交通支受到刺激所引发的。
