A method of treating functional lesions of the caudal group of cranial nerves

 

(57) Abstract:

The invention relates to medicine, and is intended for the treatment of functional lesions of the caudal group of cranial nerves. Effect of pulsed magnetic field in the region of sadacharan fossa coils with a diameter of 8 - 12 see Also affecting synchronized electrical stimulation of the peripheral portion of the caudal group of cranial nerves in the neck area of the rectangular pulses in amperage 12-20 mA and pulse duration of 0.1-0.3 MS daily for 20 min, 10-15 sessions per course of treatment. The method allows to increase the effectiveness of the treatment of functional lesions of the caudal group of cranial nerves. 5 Il.

The invention relates to medicine, namely, neurology and neurosurgery, and can also be used to treat various functional lesions of the caudal group of cranial nerves.

There is a method of treatment of neuritis of the facial nerve (patent RU 2100037 C1), which consists in carrying out a magnetic pulse stimulation intensity 1-2 T with a pulse repetition rate of 0.4-0.5 Hz and a duration of 150-160 ISS on okaloosaschool, superciliary, infraorbital, temporomandibular region is her repeating it if necessary through 1-1,5 months.

However, this method has significant drawbacks. Magnetic pulse stimulation is only a peripheral part of the facial nerve and, therefore, cannot adequately activate the changes that have occurred in the Central part (intracranial part of the nucleus of the nerve).

The closest we have chosen as a prototype is a method of treatment of lesions of the facial nerve (patent RU 2134131 C1), wherein the exposure is conducted by a pulsed magnetic field along the whole course of the facial nerve. Originally, the area of projection precentral gyrus, then on the mastoid process, after the area the more medially of the outer ear canal. The intensity of the pulsed magnetic field of 1.5 to 3.0 Tesla. Duration of exposure for each area of 1,5-3,5 min.

However, this method has drawbacks. The time of stimulation for each region (1.5-to 3.5 min) is often not sufficient to produce the greatest effect, magnetic stimulation of the peripheral portion of the facial nerve compared with electrical stimulation activates less.

The objective of the invention is to increase the effectiveness of treatment ill the impact carried out by a pulsed magnetic field on the intracranial part of the caudal group of cranial nerves (FMN) in the posterior cranial fossa (SCA), and electrical impulses on the peripheral part of the nerve in the neck. The intensity of the pulsed magnetic field of 1.5-2.0 Tesla. At the same time conduct electrical stimulation rectangular pulses with amperage 12-20 mA, pulse duration of 0.1-0.3 MS. The duration of exposure of 20 minutes This impact exercise daily for 10-15 days, repeating it if necessary through 1-1,5 months.

The authors have carried out the necessary experimental work in order to determine the amplitude-time characteristics of transcranial magnetic (TMS) and electrical stimulation (ES) of the caudal group FMN.

Treatment of patients with different functional lesions of the caudal group FMN is an actual problem of modern neurology and neurosurgery.

First FMS was made A. D' Arsonval in 1896, when stimulation of the occipital region of the subjects noted the visual flashes in the eye - phosphenes. Later in 1910 S. Thompson described that during stimulation of the retina of the human eye magnetic field patients also noted phosphenes. In 1965 R. Bickford and B. Fremming was first able to produce stimulation of the facial nerve sinusoidal magnetic field. In 1980 was about what registration caused by motor responses with the upper and lower extremities. To register motor responses from the muscle during stimulation of the magnetic field of the peripheral nerves was able for the first time in 1982, M. J. R. Polson. A group of scientists at the University of Sheffield, headed by A. Barker in 1985 created a magnetic stimulator that can excite the motor cortex of humans and to cause movement in the upper and lower extremities. This technique was called "transcranial magnetic stimulation" (TMS).

Transcranial magnetic stimulation is widely used for studying the Central nervous system, including for the treatment of lesions FMN (patent RU 2100037, 2134131, 2128485).

1. Therapeutic electrical stimulation of different parts of the nervous system is widely used in the world (Tsuhokawa T., Yamamoto T., Katayama Y. Deep brain stimulation in persistent vegetative state; follow-up results and criteria for selaction of candidates. Brain Inj., v.4, pp. 315-327, 1990; Kazuyoshi F., Mitsuhiro O. , Daisuke N. Spinal cord stimulation for vegetative state. The society for treatment of coma, v.3, pp. 91-95, 1994; Cooper, J. B., Jane J. A., Alves, W. M. , Cooper E. B. Right median nerve electrical stimulation hasten awakening from coma. Brain Inj., v.l3, pp. 261-267, 1999), including for the treatment of lesions of the facial nerve (Tyszkiewicz So the electrical Stimulation in the rehabilitation of patients with lesions of the facial nerve, the materials of the conference "Modern aspects electroneurostimulation and novostirussia with neuropathy of the facial nerve, materials of the conference "Modern aspects electroneurostimulation and new technologies in neurosurgery and neurology, Saratov, 1998, S. 53), optic nerve (Fedorov S. N. Linnik , L. F., Antropov, Meters and other Efficiency distant stimulation with atrophy of the optic nerve using implanted receiver. // 2nd int. the Symposium. on refracts. surgery, IOL implantation and comprehensive treatment of optic nerve atrophy. Proc. Dokl., Moscow, 1991, S. 202; Kompaneets E. B. Neurophysiological fundamentals improve and restore the function of the sensory systems. // Thesis... Prof. Biol. Sciences in the form of a scientific report. - M., 1992, 90 C.).

The method is as follows.

This object is achieved in that the impact of conducting pulse magnanim field on the intracranial part of the caudal group FMN in the field SCA. In Fig. 1 shows the brain out of FMN, caudal group (IX, X, XI, XII) and their nuclei lying in the brain stem, it was necessary to stimulate the pulsed magnetic field.

Magnetic stimulation was performed in the field SCA. For TMS used magnetic stimulator Cadwell MES-10 (USA) (Fig. 2). Induction of a magnetic field provided in the interval of 1.5-2.0 Tlot size of the coil depends on the penetration depth of electromagnetic pulses, generated in the coil (Fig. 3).

Supply frequency magnetic pulses is 0.5 to 1.2 per second, and at the time of application of the pulse magnetic field synchronously triggered electrostimulation.

Simultaneously conducted electrical stimulation extracranially the peripheral portion of the caudal group of FMN in the neck (from lesion). Current during stimulation was 12-20 mA, pulse duration of 0.1-0.3 MS, the form of rectangular pulses. The distance between the anode and cathode 1-2 see the Skin at the site of stimulation was treated with abrasive paste and alcohol. The electrodes were applied conductive paste. The duration of exposure of 20 minutes Trigger the launch of a magnetic stimulator, electrostimulation were performed on 8-channel neurocranial "Viking IVP" by Nicolet (USA) (Fig. 4). This impact exercise daily for 10-15 days, repeating it if necessary through 1-1,5 months.

In Fig. 5 shows the General scheme of stimulation.

The results can be illustrated by the following clinical examples.

Observation 1. Sick And and M. M., 1979, p, was hospitalized in the Institute of neurosurgery named after. N. N. Burdenko (I. B. 2176/2000).

and developed paresis IX, XI, XII nerves on the left. Clinically - not called pharyngeal reflex on the left, swallowing completely disrupted, voice - only in the form of wheezing.

Conducted 10 sessions stimulation therapy (TMS in the field SCA and ES extracranial part IX, XI, XII nerves in the neck on the left.

After the course there is a marked positive clinical dynamics - emergence of pharyngeal reflex, the ability of the meal, the opportunity to speak.

Observation 2. Sick P-R M. A., 1967, p, was hospitalized in the Institute of neurosurgery named after. N. N. Burdenko (I. B. 1344/99).

After the operation developed paresis IX, XI, XII nerves on both sides. Clinically - not called pharyngeal reflex on both sides, swallowing completely broken, it is impossible.

Conducted 10 sessions stimulation therapy (TMS in the field SCA and ES extracranial part IX, XI, XII nerves in the neck from both sides.

After the course there is a marked positive clinical dynamics - emergence of pharyngeal reflexes on both sides (preferably the right), the possibility of receiving liquid foods (soups, yogurt), the emergence of speech (short phrases).

The use of the proposed systemically processes in the caudal group of FMN in its functional defeat.

2. Improves the condition of the muscles of the pharynx (swallowing, foncia).

3. Helps to normalize functions of swallowing and speech, and thus protects against disability.

The proposed method can be used to treat functional lesions of the caudal group FMN.

A method of treating functional lesions of the caudal group of cranial nerves, including the effects of pulsed magnetic field, characterized in that the pulsed magnetic field is performed on the rear-cranial fossa coils with a diameter of 8 to 12 cm, and the impact of synchronized electrical stimulation of the peripheral portion of the caudal group of cranial nerves in the neck area of the rectangular pulses in amperage 12-20 mA and pulse duration of 0.1-0.3 MS daily for 20 min, 10-15 sessions per course of treatment.

 

Same patents:
The invention relates to medicine and can be used to improve the functional condition of biological object, in particular for the improvement of the person
The invention relates to medicine, and is intended for the treatment of patients with arterial hypertension
The invention relates to medicine, and is intended for the treatment of patients in coma and vegetative state

The invention relates to medicine, in particular for intensive therapy of myocardial infarction, complicated rhythm as ventricular arrythmia

The invention relates to medical equipment, namely, magnetic therapy, and can be used in the treatment of many diseases, including cirrhosis of the liver complicated forms in the course of regeneration of dysfunctional organs, the treatment of BPH, provides painless crushing and output concretions of various organs, treats mastitis and fibroadenoma of the mammary glands and uterine fibroids, atherosclerosis of vessels of lower extremities and many others without surgery and without the use of medication
The invention relates to medicine, physical therapy, and can be used to treat ingrown nail
The invention relates to medicine, physiotherapy and can be used for the treatment of psoriatic arthritis
The invention relates to medicine, namely to ophthalmology, and for the treatment of hemophthalmia
The invention relates to medicine, physiotherapy and can be used for the treatment of diseases of the joints
The invention relates to medicine, neurology and can be used to treat epilepsy
The invention relates to medicine, and is intended for the treatment of patients in coma and vegetative state
The invention relates to medicine, and is intended for the treatment of pain disorders and inflammatory and degenerative diseases of the temporomandibular joint

The invention relates to medicine, arthrology and can be used for the treatment of polyesterwith
The invention relates to medicine, and is intended for the treatment of chronic bronchopulmonary process in children with the syndrome SV-Addition

The invention relates to medicine, arthrology and can be used for the treatment of polyesterwith

The invention relates to biomedical engineering, more specifically to electro-stimulation devices for the diagnosis and treatment of organs and tissues

The invention relates to the field of biomedical engineering, more specifically to electro-stimulation devices for the diagnosis and treatment of organs and tissues

The invention relates to medicine, physiotherapy and can be used for the treatment of uretroprostatit

The invention relates to medicine, and is intended for the treatment of children with functional cardiopathy

The invention relates to medicine, and is intended for the treatment of children with functional cardiopathy from areas with radionuclide contamination

FIELD: medical engineering.

SUBSTANCE: device has programmable unit for producing output impulses having analog-to-digital signal converter connected to radio frequency communication unit having external programming and feeding unit and connected to wire electrode for supplying stimulation impulses to organs and tissues and biosensor units of respiratory and cardiovascular system parameters and autonomous power supply source. Electrostimulator envelope is manufactured from porous biologically inert silicon material containing carbon biosensors in the pores.

EFFECT: enhanced effectiveness of stimulation; long service life; operation safety.

4 dwg

Up!