Letters to the EditorLetter to the Editor

Reclassification of the Sacral Autonomic Outflow to Pelvic Organs as the Caudal Outpost of the Sympathetic System Is Misleading

Wilfrid Jänig, Prof Dr med, and Winfried Neuhuber, Prof Dr med
Notes and Affiliations
Notes and Affiliations

Published: July 1, 2017

J Osteopath Med; 117(7): 416-417

The authors write regarding a previous Letter to the Editor (Hoehmann CL, Cuoco JA. Landmark article transforms traditional view of the autonomic nervous system. J Am Osteopath Assoc 2017;117(2):72. doi:10.7556/jaoa.2017.016) in which the authors proposed that the sacral spinal outflow to the pelvic organs should be reclassified as the caudal outflow of the peripheral sympathetic nervous system. The authors of the present Letter object, stating that reclassification would imply that the peripheral autonomic nervous system with preganglionic neurons in the spinal cord and brainstem is divided into a cranial (parasympathetic) system and a spinal (sympathetic) system.

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