Internal carotid plexus Internal carotid plexus The internal carotid plexus (internal carotid plexus) is situated on the lateral side of the internal carotid artery, and in the plexus there occasionally exists a small gangliform swelling, the "carotid ganglion", on the under surface of the artery. Postganglionic sympathetic fibres ascend from the superior cervical ganglion, along the walls of the internal carotid artery, to enter the internal carotid plexus. These fibres then distribute to deep structures, which include the Superior Tarsal Muscle and pupillary dilator muscles. Some of the fibres from the internal carotid plexus converge to form the deep petrosal nerve. The internal
Carotid sinus therapeutic examination tool. In studies of thousands of uses on elderly patients, there were no complications of death or bradycardic events requiring treatment or resuscitation, even though this age group is more likely to be symptomatic from carotid sinus stimulation. A carotid massage can also possibly dislodge a thrombus, or some plaque. This could lead to any number of life-threatening effects, including stroke. Stimulation of the carotid sinus via a slap or a strike, to induce (usually temporary, but sometimes lethal) loss of consciousness is an effective self-defense technique, and is often taught in martial arts such as karate and