RU2222362C2 - Method for treating patients for brain injuries - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves applying two kinds of radiation supplied to four fields within a procedure. One procedure involves first applying remote sequentially scanning low intensity helium-neon laser radiation of 20 mW power within up to 2 min per one field of up to 100 cm area in interscapular, lumbosacral and popliteal areas. The extremely high frequency electromagnetic radiation of 10 mW/cm is applied in contact mode when alternating wavelengths of 5.6 and 7.1 mm every other day in interscapular and lumbosacral area. The other procedure involves exposing hand palms and plantar foot surfaces to low intensity helium-neon laser radiation and then applying the extremely high frequency electromagnetic radiation treatment to the same areas. Severe brain injuries being the case, additional treatment with both kinds of radiation is applied to the area of nose bridge. EFFECT: enhanced effectiveness of treatment. 2 cl, 6 dwg, 3 tbl

Description

 The invention relates to medicine, namely rehabilitation, physiotherapy, neurology, neurosurgery, and can be used for rehabilitation treatment of patients with brain injuries of traumatic, vascular, inflammatory genesis, accompanied by signs of cerebral edema without a dislocation syndrome.

 There is a method of treating brain lesions by intravascular exposure to continuous low-intensity laser radiation (LLL) with a power of 2.5 mW from a helium-neon laser installation with an exposure of 60 minutes at 1-10 days of the acute period in patients with severe traumatic brain injury to compensate for hypoxia of the brain ( Germanovich VV Laser irradiation of blood in the acute period of severe traumatic brain injury. Abstract of thesis ... Candidate of Medical Science. St. Petersburg. 1997.- 18 p.).

 The method is invasive and can provoke complications: infection, thrombus formation, etc. The method does not provide targeted stimulation of brain regeneration, reduction of its edema and restoration of brain function in general.

The prototype of the proposed method is a method of treating brain lesions by exposure to electromagnetic extremely high frequency (EHF) radiation in a constant mode with a capacity of 10 mW / cm ² through a mouthpiece of 2x1 cm in 4 fields on the palmar surfaces of the hands and plantar surfaces of the feet when alternating every other day 5.6 mm waves (frequency 53.534 GHz,) and 7.1 mm (frequency 42.194 GHz) in a course of 5-10 procedures under electroencephalographic (EEG) control (RF Patent 2131277, 1999). The method is intended for the treatment of patients with brain damage and epileptic syndrome.

 However, in patients with brain lesions, manifested by the loss of function of several analyzers, their relationships up to impaired consciousness (coma, apallic syndrome) and accompanied by cerebral edema, the known method does not provide restoration of impaired brain functions when stopping signs of cerebral edema.

 The invention is aimed at creating a method for treating brain lesions, providing restoration of impaired brain functions when stopping signs of cerebral edema.

The essence of the invention lies in the fact that they affect two types of radiation on 4 surfaces of the body per procedure. Scanning with a frequency of 200 Hz LLLR with a capacity of 20 mW and a beam diameter of 3 mm from a helium-neon laser unit is operated remotely for up to 2 min on the field. EHF radiation with a power of 10 mW / cm ^{2 is} acted upon in a pulsed mode, alternating every other day with wavelengths of 5.6 mm and 7.1 mm, through a speaker with a size of 2x1 cm for up to 5 minutes in the field. In one procedure, two types of radiation are applied to the interscapular and lumbosacral regions and laser radiation to the popliteal regions. In another procedure, two types of radiation are applied to the palmar surfaces of the hands and the plantar surfaces of the feet. In severe brain damage, in addition to each procedure, two types of radiation are applied to the nose bridge region. The treatment course consists of 5-10 procedures and is carried out under EEG and X-ray computed tomography (CT) or magnetic resonance (MRI) control.

The inventive method differs from the prototype in that it is additionally remotely exposed to scanning low-intensity helium-neon laser radiation with a power of 20 mW for up to 2 min on a field of up to 100 cm ² in one procedure, the other procedure is affected by two types of radiation on the interscapular and lumbosacral region and laser radiation to the popliteal region; carry out x-ray CT control. In addition, with severe brain damage, in addition to each procedure, two types of radiation affect the nose bridge.

 Irradiation of the interscapular region, in the projection of which there are zones of segmental innervation of the chest organs, improves the functions of the cardiovascular and respiratory systems, the regulation centers of which are located in the caudal section of the brain stem, the nuclei of the vagus nerve, and in the hypothalamic-pituitary region.

 Irradiation of the lumbosacral region, in the projection of which there are zones of segmental innervation of the pelvic organs (bladder, large intestine), improves the functions of the urinary and digestive systems, the regulation centers of which are located in the rostral part of the brain stem and cerebral cortex. Among the internal organs, a person consciously controls precisely the acts of urination, defecation and, to some extent, breathing. Therefore, the activating effect on the links of the nervous regulation of these organs helps to improve the functions of the cerebral cortex and the central nervous system in general.

 Irradiation of these areas contributes to the activation of cerebrospinal fluid in the thoracic and caudal spinal canal. Activated cerebrospinal fluid washes the brain, causing beneficial physiological changes in the form of resolution of alteration, reduction of autoimmune processes and edema.

 Irradiation of the popliteal regions causes activation of innervation, blood circulation, and lymph circulation in the legs, which are among the largest blood depots and central regulation of function of which is anatomically coupled with the vegetative centers of the brain stem.

 When the palms and soles are irradiated, receptors and terminals of nerve fibers are exposed. Activated axoplasm and Schwann cells (glia) through the most important axonal pathways - the median, ulnar, sciatic nerves - cause a restructuring of the activity of segmental and higher regulation units. In response to physical irritations of the neuro-receptor structures, a response of the brain occurs at the level of the trunk - non-specific regulatory systems of the brain, the reticular formation, the thalamus and, ultimately, the cerebral cortex. Disinhibition of the spinothalamic and thalamocortical pathways helps restore brain function in general, while harmoniously mobilizing the biological reserves of brain survival.

 Irradiation of the nose bridge region causes direct activation of the median formations of the brain, mainly the diencephalic region, and the centers of autonomic regulation of functions. Vegetative innervation accompanies and is an indispensable participant in any arbitrary acts regulated by specific analyzers. Activation of autonomic innervation enhances the reparative-regenerative processes in the nervous system and restores the function of the brain as a whole.

 The use of two types of energies enhances the central nervous system response and accelerates regenerative and reparative processes, resolving alteration and edema of the brain substance.

 The method is as follows.

 A comprehensive study is performed for a patient with brain damage.

 1. Clinical and neurological: assess the function of the brain as a whole (level of consciousness, the presence of signs of hypertension, epileptic and other syndromes) and the functions of analyzers (speech, motor, sensory and others), establish the leading neurological syndrome of the disease.

 2. CT scan or MRI scan: detect signs of cerebral edema, local or widespread without dislocation, which does not require surgical correction.

 3. EEG study: identify the initial abnormal pattern of bioelectric activity of the brain.

 This syndrome complex is an indication for a course of combined scanning laser therapy (RT) and EHF-therapy. The condition for its implementation is the stability of the functions of the life support organs. The presence of a tracheostomy, tube feeding and catheterization of the bladder is acceptable.

 For the first procedure, the patient is laid on a couch on his stomach and several sideways. If consciousness is impaired or severe motor disorders (tetraparesis) occur, the procedure is performed on a gurney, in which the patient is taken to the physiotherapy room. Nursing staff supports the patient. Physiotherapist and physiotherapy nurse perform the procedure. All are wearing safety glasses.

Influenced by two types of radiation on 4 fields per procedure:
1. Initially, they operate a 20 mW LLLT from a helium-neon laser installation (wavelength 0.6328 μm). A beam with a diameter of 3 mm scans with a frequency of 200 Hz along the trajectories of the Lissajous figure ("grid"). Irradiate remotely from a distance of 1 m of the surface of the body up to 100 cm ² in size. The exposure duration is no more than 2 minutes per field. The interscapular and lumbosacral regions are sequentially irradiated, setting the center of the Lissajous figure at levels Th _4-5 and L ₅ -S ₁ , and both popliteal regions.

2. Immediately after the LLLT, they are affected by KBH-radiation with a power of 10 mW / cm ² in a pulsed mode, contactly through a 2x1 cm horn, alternating after a day with wavelengths of 5.6 mm and 7.1 mm. The exposure duration is not more than 5 minutes per field. The horn of the EHF installations are positioned with a larger side of 2 cm along the spinal column paravertebrally in the center of the muscle shaft sequentially on both sides at the levels of Th _4-5 and L ₅ -S ₁ .

 In the second procedure, LLLT and EHF radiation with the above parameters are affected.

 1. The patient is laid on a couch on his back or several to the side, his arms are freely extended along the torso with the palms up, the LILs of the palms of the hands are irradiated. Then the patient is turned on his stomach, his legs are freely extended and slightly bent in large joints, they are irradiated with the plantar surfaces of the feet.

 2. Immediately after the laser, the EHF effect is performed in the above positions. The horn of the EHF installation is placed sequentially in the center of the palmar surface of each hand and the plantar surface of each foot.

In severe brain lesions, when the patient is in a state of reactive coma or apallic syndrome, in addition to each procedure, the nose region is covered with an area of up to 4 cm ² with two types of radiation: LILR - 30 s and EHF-radiation in a constant mode - 2 minutes.

 Procedures are performed daily or every other day. After 5 procedures carry out control studies. An indication for the continuation of the course of treatment is the positive dynamics in the form of signs of restoration of brain functions, a decrease in the degree of cerebral edema and the index of slow waves with an increase in amplitude values in the EEG.

 With significant improvement, a course of combined scanning RT and EHF-therapy of 5 procedures may be sufficient for young patients and children.

 In cases of deterioration of the patient’s condition, for example, in connection with an intercurrent disease (hemorrhagic pyelonephritis, gastric bleeding, etc.), the course of treatment should be interrupted and resumed only if the functioning of the life support organs is stabilized.

 At the end of the course of treatment of 10 procedures, a comprehensive study is repeated. A second course of treatment is carried out no earlier than 2-3 months later, during which a further reorganization of the functioning of the brain occurs in response to the performed physiotherapy rehabilitation complex.

 The method is developed at the Russian National Research Institute of Chemical Technology prof. A.L. Polenova and passed clinical trials in the treatment of 52 patients with brain lesions. The age of patients ranged from 12 to 69 years, the average age was 33 years. There were 33 males (63.5%), females - 19 people (36.5%). All patients underwent a course of combined scanning RT and EHF-therapy according to the proposed method. According to the results of a comprehensive study, the dependence of treatment effectiveness on the age of the patient, the etiological factor and the leading neurological syndrome was established (Table 1-3).

 From the presented data it is seen that the best results were obtained in young people whose body not only has great resources for regeneration of the nervous system, but is also more saturated with fluid and prone to edema.

 In the study group, the best results (significant improvement, i.e., a significant decrease in neurological deficit) were obtained among patients with traumatic (52%) and vascular (46%) brain lesions. In such patients, disturbances of cerebrospinal fluid dynamics, cerebral circulation, blood-brain barrier, autoimmune changes, aggravating cerebral edema, which affect the survival of patients and the formation of gross neurological disorders in them, predominate.

 Deterioration occurred only in 3 patients with severe traumatic brain damage: in one case, its manifestation was an increase in epileptic seizures, in the other - dizziness, one patient died. Such a result indicated the absence of nervous tissue regeneration resources in these patients.

 The groups of patients with severe neurological deficit are considered. Apallic syndrome was established in 15 patients. 6 of them (40%) had a significant improvement and a clear consciousness. A CT scan showed a decrease in cerebral edema in these patients. In the EEG, the appearance of elements of the main rhythm, a slight decrease in the pathological elements of rhythm were noted.

 The best results were obtained in the group of patients with cerebroorganic syndrome (86%): tetraparesis, hemiparesis, aphasia, visual and bulbar disorders, and other syndromes in various combinations depending on the extent and level of brain damage. High efficiency was noted in patients with leading hypertension-hydrocephalic syndrome (66%). In both groups, a certain degree of cerebral edema was observed in the affected area, which was stopped after the treatment.

 From the foregoing, it follows that the proposed method is most effective in treating patients with traumatic and vascular lesions of the brain, which are manifested by severe neurological deficit up to the cerebral coma and apallic syndrome and are accompanied by cerebral edema.

 We give examples - extracts from medical records.

 Example 1. Patient A., 19 years old, on 04/04/1999 received a car accident and was hospitalized at the Central Hospital of the Wasteland with a diagnosis of open craniocerebral trauma (CCI). A severe brain contusion with compression of the right hemisphere with an epidural hematoma. Fracture of the bones of the arch and base of the skull on the right. Otoliquorea on the right. 05/04/99 decompressive osteoplastic craniotomy (DCPT) was performed in the right frontotemporal-parietal region, removal of acute epidural hematoma.

 05/06/99 was transferred to the Regional hospital in Pskov with a diagnosis of OBMT. A severe brain contusion. Fracture of the bones of the arch and base of the skull on the right. Relapse of epidural hematoma on the right. Swelling and dislocation of the brain. Meningitis. Brain coma I-II. Performed surgical interventions: 05/06/99 - removal of recurrent epidural hematoma; 05/08/99 - tracheostomy; 05.21.99 - removal of acute hydroma in the right frontotemporal region; 05.25.99 - removal of recurrent hydroma, catheterization of the left common carotid artery (OCA) through the superficial temporal artery (PVA). He was on mechanical ventilation (IVL) and probe nutrition. Transferred aspiration pneumonia.

 06/01/99 transferred to the Institute of the Human Brain, medical history 493, with a diagnosis of OBMT. A severe brain contusion with compression of the right hemisphere with an acute epidural hematoma, with centers of crushing of the right temporal and left frontal lobes. Fracture of the arch and base of the skull in the region of the anterior cranial fossa to the right. Dislocation syndrome. Condition after 4 neurosurgical interventions. Upon receipt, consciousness at the level of stunning 2 degrees - stupor; a sharp decrease in vision (VOD = 0 and VOS = 0.08-0.09) and partial atrophy of the optic nerves; left-side hemiparesis. On MRI from 06/25/99 - centers of crushing in the right temporal and left frontal lobes with cystic changes and perifocal edema. The lateral and third ventricles are dilated, more on the right Chiasm is slightly shifted up. In the EEG from 07/09/99 - the predominance of slow activity and convulsive readiness. 07/12/99, KPTCH operation was performed in the left frontotemporal region, removal of cerebrospinal fluid cysts and brain detritus of the basal parts of the left frontal lobe. At the time of discharge on July 27, 1999, the consciousness was clear, intellectual-mnestic and psychoemotional disorders, a significant decrease in visual function, left-sided hemiparesis. Moderate exercise is recommended due to severe exhaustion.

 He was re-treated at the Institute of the Human Brain from 10/04/99 to 11/11/99, medical history 733, with a diagnosis of the consequences of severe CST. Post-traumatic and discirculatory encephalopathy. Post-traumatic partial atrophy of the optic nerves (VOD = 0 without correction; VOS = 0.2 with correction up to 0.5). Bone defect of the cranial vault in the right frontotemporal region. 10/11/99, plastic of the defect of the temporal and parietal bones on the right with homostasis was performed. At discharge, moderate loads are recommended due to severe exhaustion.

 The third hospitalization at the Institute of the Human Brain from 01.24.2000 to 05.31.2000, medical history 63, with a diagnosis of the consequences of severe CST. Post-traumatic and discirculatory encephalopathy. Post-traumatic partial atrophy of the optic nerves. 01/25/2000 was performed catheterization of the right OCA through PVA, intracarotid infusion of drugs. Discharged with subjective improvement in vision. Moderate exercise is recommended due to severe exhaustion.

1 year after a brain disaster, the patient was sent to the RNHI them. prof. A. L. Polenova for rehabilitation treatment, outpatient card 769. Rehabilitation diagnosis: consequences of severe brain damage of traumatic and inflammatory origin. Hypertensive hydrocephalic syndrome. Psychoorganic syndrome. Organo-cerebral syndrome in the form of a pronounced violation of visual function. A comprehensive examination found:
1. Neurological research: intellectual-mnestic and psycho-emotional disorders (reduced criticism and self-service ability, untidiness, aggressiveness, impoverishment of speech and emotions); severe visual impairment (VOD = residual vision, VOS = 0.2 with correction up to 0.6); left-side hemiparesis 4 points.

 2. MRI study: multiple cystic changes with the presence of perifocal edema mainly in the right frontotemporal and chiasm-sellar regions; expansion of the lateral and third ventricles of the brain - asymmetric internal hydrocephalus.

 3. In the EEG of 04/26/2000, the main rhythm in the form of individual elements is recorded only within the left hemisphere. Distributed dysrhythmia dominates in all parts of the brain with focal prevalence in the form of synchronous slow waves in the frontal parts of both hemispheres, more to the left, and with the phenomenon of irritation (groups of sharp waves and reduced peak-wave complexes) in the temporal parts of both hemispheres. Bilateral high-amplitude bursts of polymorphic oscillations periodically occur. Conclusion: common changes with multiple foci of pathological activity and involvement of the subcortical stem formations of the brain in the pathological process (Fig. 1).

According to the proposed method, the patient received a course of combined scanning RT and EHF-therapy from 04/26/2000 to 05/17/2000. Affected LLLT from a helium-neon installation. The laser beam scanned along the trajectories of the Lissajous figure on 4 body surfaces measuring 100 cm ² remotely from a distance of 1 m. Each field was irradiated for 2 min. In the first procedure, the interscapular, lumbosacral and both popliteal regions were irradiated. Then, they were successively exposed to EHF radiation through a contact channel through a 2x1 cm horn for 5 min for each of 4 fields: 2 fields paravertebrally in the interscapular and lumbosacral region. In the second procedure, they were first affected by LLLT and then successively by EHF radiation on the palmar and plantar surfaces in 4 fields. During the course alternating every other day, the wavelengths of EHF radiation of 5.6 mm and 7.1 mm.

 After 5 daily procedures, the patient's condition improved, he became softer in handling the medical staff, more disciplined, it became easier to tolerate physical and mental stress.

 In the EEG of 05/05/2000, the general changes were somewhat smoothed out, the amplitude of the biopotentials decreased. The focus of the paroxysmal slow waves in the frontal part of the left hemisphere has been preserved. Conclusion: the tendency to positive dynamics (figure 2).

 At the end of treatment, out of 10 daily procedures, there was a clear positive trend.

 1. Neurological examination showed a significant decrease in the severity of intellectual-mnestic and psychoemotional disorders (the patient became more neat, allowed himself to change underwear, less aggressive, speech became more developed and smooth), the severity of visual disturbances decreased (VOD = residual vision with increasing size of the field of view , VOS = 0.3-0.4 with a correction of 0.8-0.9, expansion of the field of view of the left eye); muscle strength of the left extremities has grown; increased load tolerance. All this allowed the patient to expand his range of activities: works with a personal computer, prints documents for parents, communicates with partners via the Internet.

 2. MRI 06.05.2000 - post-traumatic cystic-atrophic changes in the left frontal, right temporal and opto-chiasmal region, asymmetric internal dropsy. The dynamics showed a clearer outline of post-traumatic cysts and the absence of perifocal edema.

 3. In the EEG from 05.17.2000, the main rhythm is deformed, rather regular. Foci of pathological activity were not recorded during the recording. Conclusion: the ongoing trend towards positive dynamics (figure 3).

 Thus, in a patient with severe brain damage, severe neurological deficit and long-lasting (within a year) local swelling of the brain substance, after a course of combined scanning RT and EHF-therapy, according to the proposed method, a partial restoration of impaired brain functions was noted when stopping signs of edema brain and compensation of dominant markers of inhibition in the central nervous system.

 Example 2. Patient A., 16 years old, 08/13/2000 received a car accident and was hospitalized in the NRB of Vsevolozhsk, 08/14/2000 transferred to the Russian National Research Chemical Institute. Polenova, medical history 1668. Diagnosis: closed craniocerebral trauma (CCT). A severe brain contusion with a lesion of the trunk at the mesencephalo-bulbar level. Subarachnoid hemorrhage. Coma I-II.

08.16.2000 - Tracheostomy. Mechanical ventilation Probe Nutrition. Permanent catheter in the bladder. Bronchopneumonia. After an intensive care course, by 04.09.2000, compensation of vital functions was achieved. However, no convincing signs of recovery of consciousness were noted. A consultation of doctors: a neurosurgeon, resuscitator, rehabilitation specialist decided to conduct a course of combined scanning RT and EHF-therapy according to the proposed method. Intensive drug therapy was not used during this period. Initial Status:
1. Nutrition through a probe, independent breathing through a tracheostomy tube with periodization elements, urination through a permanent catheter. Consciousness at the level of coma I - sopor (accessible to minimal contact, reacts by closing the eyes in response to light stimuli, opening to sound). Anisocoria, sluggish photoreactions, divergent strabismus. Severe symptoms of oral automatism. There is no purposeful movement in the limbs. Diffuse muscle hypertonicity +2 points. A pronounced autonomic reaction in the form of diffuse hyperemia, hyperhidrosis, mydriasis, and chaotic movements of the limbs to electrical stimuli during irritation of projections of nerves of the extremities, which testified to the preservation of vegetative centers.

 2. CT scan of the brain from 08.25.2000: the ventricular system is symmetrical with respect to the midline, the right lateral ventricle is compressed due to edema of the right hemisphere of the brain (Fig. 4).

 3. EEG from 08/28/2000: the main rhythm is absent, disorganized slow theta activity predominates, having a monomorphic nature, alternating with generalized delta activity. A weak reaction to photostimulation in the form of an increase in delta activity.

 The patient was brought to the physiotherapy room on a gurney accompanied by medical staff, laid and held on a gurney in a middle position between the position on the left side and on the stomach. The LLLT was irradiated with the interscapular, lumbosacral and popliteal regions for 1 min each field. Then, 2 fields were paravertebrally exposed to EHF radiation in the interscapular and lumbosacral region for 2 min per field. Then the patient was turned on his back, the region of the NRLI nose bridge was irradiated for 30 s and EHF radiation for 2 min. In the second procedure, they were applied to the palmar and plantar surfaces of the LLLT for 2 min per field and EHF for 4 min per field, the nose bridge was treated similarly to the first procedure. During the course of treatment alternating every other day, the wavelengths of EHF radiation of 5.6 mm and 7.1 mm.

After 5 procedures, positive dynamics were noted:
1. Significant stabilization of the activity of life support organs has been achieved. The patient began to swallow semi-liquid food, expectorate sputum, independent breathing through the tracheostomy tube was smooth, without periodization. Consciousness at the level of stupor: closes and opens eyes to verbal irritants; forced position of the head - tilt to the right, possibly as a reaction to the sensation of a headache. An emotional reaction appeared in the form of a change in facial expression: pleasure during feeding, gentle handling or crying in combination with movements of the limbs in response to pain irritation. Eyeballs are symmetrical. Muscle hypertonicity is at the same level. When trying to straighten the right hand, the patient sits down.

 2. CT from 09/11/2000: a decrease in edema of the medulla of the right hemisphere to a moderately pronounced degree, a manifestation of compensatory expansion of the left lateral ventricle to 15 mm, the width of the right lateral ventricle is 7 mm (Fig. 5).

 3. EEG from 09/11/2000: a shift in the frequency range of oscillations to the left is observed. Diffuse paroxysmal activity. The reaction to photostimulation is weak, to pain it is distinct, in the form of generalized outbreaks of slow polymorphic oscillations.

The course of treatment is continued up to 10 procedures. At the end of treatment:
1. Consciousness at the level of stunning: recognizes relatives, emotionally reacts differently to different people turning to him (smiles at his mother, cries at the sight of his father, whose car he stole and got into a car accident), reacts adequately to light, sound, pain stimuli, quickly depleted. Eyeballs are symmetrical, the pupils are uniform. Photoreactions, corneal and abdominal reflexes are live. Tetraparesis and independent movements in the limbs within 2 points, diffuse muscular dystonia in the form of plastic tone +3 points, elements of the support function. Cachexia, shallow bedsores in the sacrum and hips. 11/01/2000 transferred from the intensive care unit to the general chamber. 11/13/2000 tracheostomy tube, probe and catheter removed. Physiological respiration, nutrition, and urination. When urged to urinate and defecate, he exhibits motor anxiety. There is no speech production, however, the pronunciation of individual sounds like "ma" has appeared.

 2. CT from 09/28/2000: There is no dislocation. The left lateral ventricle is expanded to 16 mm. In the projection of the basal divisions of the pole of the right temporal lobe there is a zone of atrophy of the medulla 23x31x10 mm. Marked expansion of the right sylvian gap. Compared with the study of September 11, there is a dynamic decrease in edema of the right hemisphere, the manifestation of atrophic changes (Fig. 6).

 3. EEG from 11/22/2000: dysrhythmia, elements of the main rhythm, diffuse paroxysmal activity are recorded. Reaction to photostimulation in the form of flashes of polymorphic slow oscillations.

 11/27/2000 the patient was discharged with the conclusion: apallic syndrome. He carried the road home in a passenger car in a seated position well, he recognized his home and his belongings. The doctors observing him ascertained a clear consciousness. The patient began to speak, sit, stand and move around with support.

 From February 10, 2001 to March 17, 2001, the patient received a course of rehabilitation treatment at the Sestroretsk rehabilitation center of the city hospital 40, medical history 1794. Diagnosis: CCI. A severe brain injury from 08.13.2000. Organo-cerebral syndrome (intellectual-mnestic disorders, dysarthria, spastic tetraparesis).

 Thus, in a patient with severe traumatic brain damage, apallic syndrome, edema of the right hemisphere of the brain after a course of combined scanning RT and EHF-therapy, according to the proposed method, a gradual recovery of consciousness and a significant reduction in neurological deficit occurred. This was accompanied by arrested signs of cerebral edema and compensation of the dominant markers of inhibition in the central nervous system.

 The proposed method has the following advantages compared to the prototype: provides restoration of impaired brain functions when stopping signs of cerebral edema.

Claims (2)

1. A method of treating brain lesions, including exposure to electromagnetic extremely high-frequency (EHF) radiation with a power of 10 mW / cm, contact when alternating wavelengths of 5.6 and 7.1 mm every other day, characterized in that the exposure is carried out by two types of radiation in four fields per procedure, while in one procedure, they first act as a remotely sequentially scanning low-intensity helium-neon laser radiation (LLLT) with a power of 20 mW for up to two minutes in a field of 100 cm on the interscapular, lumbosacral and popliteal areas, then they are affected by EHF radiation on the interscapular and lumbosacral areas; another procedure is applied by LILR radiation on the palmar surfaces of the hands and plantar surfaces of the feet, then EHF effect on the same areas is performed. 2. The method according to claim 1, characterized in that in case of severe brain damage, two types of radiation are additionally applied to each region of the nose bridge in each procedure.

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