SU1646554A1 - Method for treating infectious myeloradiculopolyneuronitis - Google Patents

Abstract

This invention relates to medicine, in particular to neurology. The goal is a reduction in the duration of treatment. For this, the localization of the pathological focus is determined visually by spinal endoscopy, which is irradiated through a light guide with a helium-ion laser with a power of 10–20 mW for 5–10 min, and subsequently laser irradiation is carried out every other day over the lesion through the light guide introduced into the needle, which is pierced in the area of the spinous processes to a depth of 2-4 cm to the ligament apparatus. As a result, the treatment time was reduced by 2-3.5 times.

Description

The invention relates to medicine, namely to neurology.

The purpose of the invention is to reduce the duration of treatment.

The method is carried out as follows.

Visually, by means of endoscopy, signs of pathology are revealed, followed by the introduction into the cavity of the spinal canal of a laser light guide, through which the pathological focus is irradiated with a spherical defocused light flux at a power density of 10–20 mW for 5–10 min.

In subsequent treatment sessions, which are performed every other day, a puncture needle is punctured a depth of 2–4 cm to the coupling apparatus over the lesion in the area of the spinous processes, a light guide is inserted into the lumen of the needle, and at the exit from it is irradiated with a defocused light beam at a power density of 1–20 mW for 7–12 min with repetition of sessions, focusing on the clinical and laboratory indicators of the patient’s condition. The criterion for stopping treatment is complete recovery of the patient.

Example. Patient B., 59 years old, was in the neurological department with a diagnosis of polyradiculoneuritis. He complained of pain in the extremities, weakness of the arms and legs, rapid fatigue, burning sensation in the palm and feet. During the week, weakness increased in the extremities, a general weakness.

He was examined in a neurosurgical hospital, where he was treated with vitamins, vasodilators, neotropic drugs - without effect. Objectively: convergence of squint from childhood. 8 for the rest of FMN - without pathology. Tendon reflexes are low, uniform. Achilles reflexes are absent. Muscle tone is reduced. Strength in extremities is reduced (32 kg in the right hand; 24 kg in the left). Symptoms of tension nerve trunks: neri, lassega from two sides. Hypesthesia by

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the type of gloves and socks (from the level of the elbows and from the level of the lower third of the hips). - In the analysis of blood from 19.07.88. Hemoglobinpeny and spectrocytopenia (120 g / l; E ch12

3.9 10 g / l), eosinophilosis - 9 in the analysis of the cut 08.08.88. respectively, indicators: Hb - 152 g / l; E - 4.7 1012 g / l, e - 4) - without pathology. Biochemical indicators - without pathology, / urine analysis - without pathology. On the ECG, Echo EG, EEG, P-graphy of the chest - age norm.

After sedation in the lying on the right side after appropriate treatment, the floor was punctured between the spinous processes of the LZ-L4 vertebrae with an endoscopic needle. A clear, colorless liquid was obtained - 10 ml. A special endoscope was inserted into the conductor needle channel, hyperemia areas, bright red blood vessels, swollen roots were inserted, the endoscope was inserted from the needle channel, and a backlight was inserted there. The endolyumbal space was irradiated with monochromatic red light, a defocused globular flow at a power density of 20 mW for 10 minutes.

Subsequent sessions of laser therapy were carried out according to the following method: they pierced the skin to the ligamentous apparatus between the spinous processes in the lumbar and lower ore parts of the spine. In the lumbar section to a depth of 4 cm and in the lower thoracic region, by 2 cm, a light guide with a defocused light beam in the form of a cone was inserted into the needle channel. The procedures were performed every other day 3 and 4 times a week, 7 sessions of percutaneous laser therapy were performed. The exposure in the first 3 sessions was 10 minutes, the remaining 4 sessions - 12 minutes. After the endolyumbal laser therapy procedure, the level of sensitive disorders was significantly reduced in the first days until the mid-calf and lower third of the forearm.

After the first session of percutaneous laser therapy, the level of sensitive disorders was noted on the palm x and on the lower third tibia; after the second session at the level of the ankle joints and fingers, the symptoms of tension are almost

not; after the third - at the level of the palms and the tips of the fingers; after the fourth - at the level of the toes; after the fifth and sixth, at the level of the nail phalanges of the toes. Starting from the third session, it was noted

increase in strength, confidence appeared when walking.

In neurological status at the time of discharge: the entrance to the squint, tendon reflexes alive. Muscle tone is fiapological. Power is sufficient (in the right hand - 60 kg, in the left 52 kg). There are no symptoms of tension in the nerve trunks. There are no sensitive and coordination violations.

The treatment was carried out in combination with vitamin therapy (BiBeBia), vascular therapy (cinarisine, anavenol), anti-inflammatory (indomethacin), sedative, ATP.

The patient was examined after 3 months (catamnias): the state was unchanged compared with the subsequent examination.

The proposed method can reduce the treatment time by 2-3.5 times.

Claims (1)

Invention Formula A method for the treatment of infectious myelo-polyradiculoneuritis by lumbar puncture with extraction of the cerebrospinal fluid and subsequent administration of drugs, characterized in that, in order to shorten the treatment time, the localization of the pathological focus, which is irradiated through the light guide with 10-20 mW helium laser light for 5-10 minutes, is visually determined by spinal endoscopy; subsequently, laser irradiation is performed one day later over the focus damage through the fiber introduced into the needle, which is punctured into the area of the spinous processes to the depth of 2-4 cm to the ligamentous apparatus, with the repetition of procedures until complete recovery.