SU1364336A1 - Method of treatment of cerebral arachnoiditis accompanied with phenomena of innsufficient venous circulatlon - Google Patents

Abstract

The invention relates to medicine, related to neurology, intended for the treatment of cerebral arachnoid with venous circulation insufficiency and the effects of head injuries, as well as in vegeto-vascular dystonias. The purpose of the invention is to reduce the duration of treatment. For this purpose, a solution of cocarboxylase 15-20 mg is introduced into the region of the mastoid venous plexus under the so-called splenius capitis, which improves venous outflow and has a positive effect on energy processes. Then, after 1.5-2 hours, an electro-posture (EAP) session is conducted using symmetrical points, for example, V, o (2). Current strength at points V, o, V (, P within 0.1–0.5 mA, at points V |, Vj,.} 0.5–1.0 mA, frequency 10-12 Hz, exposure time 10 -15 min. Then, a needle beam is applied to the cervical-collar zone and paravertebral along the spine to pronounced reddening of the skin, which helps to relieve venous blood along the vertebral basin. The course of treatment is 7-10 sessions.

Description

The invention relates to medicine, in particular, to neurology, and can be used in the treatment of cerebral arachnoiditis with the occurrence of insufficiency of the venous circulation, as well as in the treatment of the effects of traumatic brain injury, in vegetative-vascular dystonias.

pectoral musculature. Vyy point is at the level of the superior thoracic venous basin, associated with the segmental autonomic centers involved in the regulation of vascular tonus. Point V-i is segmented but associated with the solar plexus area and the diaphragm involved in

The purpose of the invention is the reduction of the SRO-IQ regulation of the venous circulation.

treatment.

The method is carried out as follows.

Having established a clinical diagnosis, select the necessary zones for the impact of the blood circulation of the brain and spinal cord, taking into account complaints, objective data, additional research methods (REG, etc.). The introduction of a solution of cocarboxylase in a dose

15–20 mg in the mastoid spleo-2o course, and electroacupuncture and extension, located under the so-called spleni- US capitis. After that, after 1.5-2 hours, an electroacupuncture session (EAP) is carried out using symmetrical points, for example, V, o sg). The current strength at points V, o, V,, P is selected within 0.1- 0.5 mA, in points, 31.52 within 0.5-1.0 mA, frequency 10-12 Hz, exposure time 10-15 min. Then, a beam of needles is applied to the cervical-collar zone and paravertebral along the spine to pronounced reddening of the skin.

The introduction of cocarboxylase under the so-called splenius capitis into the region of the mastoid venous plexus, which drains blood from the transverse sinus, improves venous outflow and has a positive effect on energy processes. The use of EAP with subsequent irritation by the needle needle of the skin of the cervico-collar area and the paraverteral zones along the spine causes a powerful venomotor effect, contributes to the discharge of venous blood along the vertebral venous pool

The superior vertebral region of the vertebral venous basin is represented by the venous basins of the first and second vertebrae, which is associated with the intracranial sinuses with the cerebral veins and cranial sections of the cervical venous arteries.

Point V, o is associated with the cervical-cranial vegetative apparatus, which influences venous circulation and cerebrospinal fluid circulation. Point P is located in the zone of the inferior cervical venous basin, associated with auxiliary respiratory stimulation at points V l, due to their connection with the caudal parts of the vertebral plexuses, take. involved in the regulation of the venous brain.

The administration of the cocarboxylase solution is repeated after 3-5 days, which is 2-3 times a day.

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needle dredging is performed daily.

The course of treatment is 7-10 sessions.

Example 1. Ill K., born in 1955, was admitted to the neurological department with complaints of headaches in the temporal and occipital regions, feeling of nausea, vomiting, frequent urination, pain in the thoracic spine, feeling hot in the whole body . He considers himself a patient for three years after suffering a traumatic brain injury. It was treated with a slight effect.

. Objectively: smoothness of the left lip of the fold. Reflexes are high, Rossolimo symptom is positive on both sides. Clonus knee 0 cups. Abdominal reflexes are not abused. Brain scintigraphy: changes in the brain are not detected. R-graph of the cervical and thoracic spine: pathology has not been identified. REK: the curve is regular, the waveform is altered by the hypotonic type, but with the presence of a presystolic venous wave, there is a general decrease in the blood supply to the brain vessels, more pronounced in the vertebrobasilar system with a 40% asymmetry (the decrease in blood filling is more pronounced on the right). ECG: sinus tachycardia, regular rhythm, left ECG type; ECG data are caused by moderately pronounced changes in the myocardium of a dystrophic nature with a predominant lesion of the left ventricle. Urinalysis: ud.ves

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1026, no protein, no sugar, prothrombin index 100. Complete blood count: Er 5.2-10, Hb 172 g / l, col.p. - 0.99, ESR 4 mm / h. Blood sugar 4.8 mmol / l. Clinical diagnosis: cerebral posttraumatic arachnoiditis with chronic insufficiency of venous circulation of the brain.

In spite of the therapy being conducted, the patient's condition did not improve, in connection with which the treatment according to the proposed method was initiated.

1st session. A 15 mg co-carboxylase solution was introduced into the region of the right and left mastoid venous plexus. Then an EAA session was held at Vfo points symmetrically from two hundred25

ron (power because 0.2 mA, frequency 10 Hz) 20 hay closed head injury (brain loss). In December 1984, almost constant headaches appeared, periodically exacerbated. At the height of the headache, nausea and vomiting occurred. It was treated twice without much effect. In April 1985, she was admitted to the neurological department, where for 23 days, conventional treatment was performed with the inclusion of dehydrating agents (furasemide, lasix), absorbing agents (vitreous body, lydaza), neotropic drugs, physiotherapeutic procedures, classical acupuncture, but after the treatment carried out was only a slight improvement.

In June 1985, the patient was again hospitalized in neurological

within 15 min After that, irritation with a needle bundle of the cervical-collar and paravertebral zones of the skin along the spine to the pronounced covering of the acne of the skin. After the procedure, the patient noted a decrease in. Headaches and heaviness in the occipital region.

2nd session. EAP at point P, symmetrically on both sides (current 0.2mA. Frequency 12 Hz) for t5 min. Irritation with a bunch of needles in the same zones and the same intensity as in the 1st session.

3rd session. The EAP of points V.i and Vsi are symmetrical on both sides (current 1 mA, frequency 12 Hz) for .15 min, then irritation of the skin of the cervical-vorotny zone by the needle bundle and paravertebral along

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spine to the pronounced reddening 40th compartment due to deterioration

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4th session. The EAF at point P is symmetrical from two sides (current 0.2 mA, frequency 12 Hz) for 15 minutes. Irritation with a bunch of needles in the same areas as in previous sessions.

Freestyle noted that after the 4th session, during the daytime, no headaches were observed, in the morning there was a tightness in the head.

5th session. In the area of the right and left mastoid venous plexus introduced a solution of cocarboxylase 15 mg. After 1.5 h, an EAA session started at points V, 3 on both sides (current 0.2 mA, frequency 10 Hz) for 15 minutes. Irritation with a bunch of needles of the cervicotropic and paravertebral skin zones along the spine.

6th session. EAP to V points; and V is symmetrical on both sides (current 1 mA, frequency 12 Hz) for 15 minutes. Irritation with a bunch of needles in the same areas as in the previous sessions. 7th session. The EAF at point P is symmetrical from two sides (current 0.2 mA, frequency 12 Hz) for 15 minutes. Irritation with a bunch of needles in the neck and collar and paravertebral zones of the skin along the spine.

After the treatment, the patient's condition returned to normal and did not present any complaints.

Example 2. Sick T., 36 years old, ill since March 1984 after a transfer 25

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condition Conducted additional research. R-graph of the skull and cervical spine: pathological changes were not revealed. Turkish saddle is normal. Echo EG: expansion of the third ventricle to 10 mm. Offsets of the median echo are not recorded, additional echoes are noted, indicating intracranial

hypertension. Brain scintigraphy: 1 hour after the isotope injection, there are no focal changes in the hemispheres of the brain. REG: wave form is changed in the dystonic pool of the carotid arteries, vascular tone in the vertebrobasal basin is changed to the hypotonic type with difficulty of venous outflow. The functional ability of the vessels is significantly impaired. In the fundus marked dilation of the veins. Clinical diagnosis: post-traumatic cerebral arachnoiditis with the effects of cerebral vascular dystonia and obstruction of venous outflow from the skull.

The treatment according to the proposed method was initiated in view of the failure of the previously carried out procedure;

1st session. In the area of the left and right mastoid venous plexus under T. splenius capitis introduced 20.0 mg of cocarboxylase. After 1.5 h, an EAP was performed with an impact on the symmetrical points V, o, current strength, 3 mA, frequency 12 Hz, exposure time 15 min. Then, irritation was carried out with the needle bundle of the cervical-collar and paravertebral zones of the skin along the spine to the pronounced reddening of the skin. Session suffered well. The second session was held the next day.

2nd session. The EAF is the effect on the P (two) and Vi (two) points, the current strength is 0.3 AA, the frequency is 12 Hz, the exposure time is 15 min. Irritation with a bunch of needles held in the same zones and the same intensity as in the first session.

After the second session, the patient noted significant relief in the course of 3 hours. Headache disappeared completely.

3rd session. EAF - impact on points (two),, (two), Vj, (two) - current at points 0.2 mA, at points V 0.4 mA, at points Vji 0.5 mA frequency 10 Hz, exposure time 15 min Then irritation with a bunch of needles as in previous sessions. Session suffered well. No headache was noted for more than 7 hours.

4th session. Introduced a solution of cocarboxylase 20 mg in the area of the right

and the left mastoid venous plexus under T. splenius capitis, followed by an EAP and stimulation with a bunch of needles.

After 10 treatment sessions, the patient is discharged home. No complaints. Control — inspection after 5 months is almost healthy.

The proposed method has made it possible to shorten the treatment time for patients with cerebral arachnoiditis with the appearance of insufficiency of the venous circulation by improving the vascular tone of the intracranial veins and reducing the intracranial pressure. The data, which indicate a reduction in the duration of treatment of cerebral arachnoiditis with the occurrence of venous circulatory failure, are listed in the table.

Claims (1)

Invention Formula A method for treating cerebral arachnoiditis with venous circulation insufficiency phenomena, including drug administration and exposure to corporeal acupuncture points with an electric current, characterized in that, in order to shorten the treatment time, a solution of cocarboxylase of 15-20 m in the mastoid venous plexus is administered every 3-5 days, and electroacupuncture is conducted daily with a pulsed electric current with a frequency of 10-12 Hz, a current of 0.1-1.0 mA for 10-15 minutes, while on the days of administration of cocarboxylase el The electroacupuncture is performed after its introduction, and then the neck and collar and paravertebral zones of the skin along the spine are irritated with a needle bundle until the skin is reddened, and the procedure is carried out daily for a course of 7-10 procedures.