RU2182019C2 - Method for treating vertebrobasilary cerebral disorders - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves piercing skin and soft tissues in the area of dorsal surface of the vertebrocranial junction. Liquid is introduced in alternating order along the median and both paravertebral lines to atlas arch. The whole treatment is 1-3 procedures long with 7-10 days pauses between them. Novocaine, physiological salt solution, glucose solution is used as the liquid. EFFECT: enhanced effectiveness of treatment; accelerated treatment course. 2 cl

Description

 The invention relates to medicine, in particular to the field of neuropathology, and is used for various manifestations of circulatory disorders of the vertebral-basilar department of the central nervous system.

 It should be noted that at present, the development mechanisms of those pathological conditions for which the proposed method of treatment has a positive effect are not known. Among these conditions are diencephalic syndrome, migraine and migraine-like headaches, other clinical manifestations of vertebral-basilar circulatory insufficiency of the brain (initial stages of essential hypertension, cerebellar disorders of coordination of movements, insomnia, decreased visual acuity of central genesis, etc.), shoulder-gland periarthritis, disorders innervations (numbness) of the upper limbs (one or both, partial or common), etc.

 An analogue of the proposal is the methods of drug treatment of these pathological conditions (Schaefer D.G. Hypothalamic (diencephalic) syndromes M., 1971; Bogolepov N.K. Clinical lectures on neuropathology, M., 1971; Mashkovsky M.D. Medicines. M. , 1988, v. 1-2), including painkillers, antispasmodics, sleeping pills, diuretics and dehydration, cerebral vasodilators, ergot drugs, tranquilizers, drugs, as well as drugs with an unknown mechanism of action (pyroxan). The disadvantages of this analogue of the proposal, in addition to the low effectiveness of the therapeutic effect, are known: the duration of treatment and the uncertainty in the timing of achieving its positive effect, the side effect of the drugs used on other organs, the development of intolerance to drugs and, therefore, refusal to take them, etc.

 Another analogue is manual therapy, characterized by the vastness of the impact on the neck (B. Goidenko et al. Manual therapy of neurological manifestations of spinal osteochondrosis, M., 1988; N. Zhulev et al. Manual and reflexology in vertebral neurology, St. Petersburg, 1992). Because of this, during the course of treatment, the patient often worsens due to irritation of the autonomic plexuses of the vertebral arteries, "sprains" and tears of ligaments, tendons or muscles. When manual therapy techniques are applied to the neck, a serious complication of this treatment method is also possible - tetraplegia due to injury to the cervical spinal cord. The disadvantage of the prototype is the complexity of dosing and unpredictable effectiveness due to the vastness of the mechanical impact on the neck.

 The closest in technical essence to the claimed method (prototype) is the method of using local effects on the neck using therapeutic massage (V. Vasichkii, Massage Handbook. - L. - 1990). The massage technique consists in influencing the area concerned by stroking, rubbing, sawing, crossing, kneading. The duration of one massage session is 15-20 minutes, 12 sessions every other day or every day comprise one course of treatment, the treatment consists of 2-3 courses, in total not less than 1 month.

 The disadvantages of the prototype are the duration of treatment and its low efficiency, the instability of the achieved positive results, the possibility of relapse in the near future after treatment.

 The purpose of the invention is to increase the effectiveness of the treatment of circulatory disorders of the vertebral-basilar part of the brain, reducing the duration of treatment and achieving a stable remission of the pathological condition.

 The goal is achieved by local exposure to tissue of the dorsal surface of the vertebral-cranial joint.

The treatment is as follows:
1) the syringe (10.0 ml) is filled with saline, novocaine solution (0.25-0.5%) or another liquid (instruments and solutions are sterile);
2) in the position of the patient on the abdomen with maximum muscle relaxation and orientation to constant bone landmarks, determine the level of the posterior arch of the first cervical vertebra;
3) on the middle and both paravertebral lines, alternately through the punctures of the skin, the tip of the needle is brought to the arc of Atlant;
4) a fluid is fed through a needle through a needle, which infiltrates (loosens) the soft tissues outward from the posterior arc of the atlas.

 In one procedure, 30-40.0 ml of sterile liquid is administered. It was noted that the effectiveness of the method is not associated with novocaine. This confirms the effectiveness of the use of saline in idiosyncrasy to novocaine. The course of treatment consists of 1-3 procedures, the interval between which is 7-10 days.

 The following are clinical examples of the specific application of the proposed method of treatment.

 Patient M., 53 years old, two years before treatment was forced to quit responsible work due to persistent headaches, dizziness, developed uncertainty and staggering in her walk, weakening of memory, and insomnia. Recently, she went out of the house into the street only accompanied by her son, refused to drive a car, and made a will. Over the past two children, due to a violation of the vertebral-basilar blood circulation, she was almost constantly treated in the clinic of nervous diseases of the Military Medical Academy, despite the fact that she suffered three minor strokes during this period. During treatment with the most effective neurological drugs (nootropil, cinarizine, finlepsin, piracetam, phenobarbital, trioxazine, seduxen, etc.), chronic pyelonephritis with frequent exacerbations formed, which forced to reduce the dose or refuse to take medication. There was a need for the treatment of pyelonephritis. Feeling a significant “relief in the head” after the first procedure was performed with 0.5% novocaine solution, two days after treatment according to the described method, the patient refused to take drugs recommended by neuropathologists. Two days later, she spoke out about the need for a second procedure, which was performed 7 days after the first. In total, 3 procedures were performed at weekly intervals. After the second procedure, the patient began to go out on her own, after the third, she got behind the wheel and began to drive, and after 1.5 months from the start of treatment she went to work as the commercial director of a large enterprise. Soon after the treatment, she drew attention to the fact that she began to ride freely in public transport, sitting with her back forward in the direction of movement - this is a sign of normalization of the blood circulation of the brain. Moreover, after treatment for 7.5 years, the persistence of the achieved results remains.

 Thus, the treatment of this patient according to the claimed methodology in a relatively short time and with minimal effort has led to a pronounced and persistent positive therapeutic effect. Such an effect could not be achieved as a result of persistent and long-term treatment at the modern level in a highly reputable neurological clinic, where even negative dynamics of the disease were noted for periods.

 Another example. Patient K., an engineer by profession, was diagnosed with Diencephalic Syndrome at 62. Since the teenage period, it suffers from conditions that occur for 3-4 days once every 2-3 months under the guise of acute respiratory infections, influenza - with fever, lethargy, chills, sweats, headaches and pains in the eyes, general malaise, weakness. Earlier, "migraine" was diagnosed, in connection with which she took various medications as prescribed by doctors, but her ability to work was lost due to medication. After the diagnosis of Diencephalic Syndrome was established, the neuropathologist prescribed Pyroxan constantly 2 tablets per day to prevent paroxysms, from which the patient complained of “noise, discomfort and heaviness in the head”. Not wanting to "be lifelong attached to the constant use of pyroroxan," the patient expressed a desire to undergo treatment according to the described method. 5 days after the first procedure, performed with 0.25% novocaine solution, the patient reported that "the disease has decreased by more than 90%." In this regard, she began to reduce the dose of pyrroxan and, after the second procedure, took 1 / 2-1 / 3 tablets of pyrroxan after 2-3 days, recognizing that this was done mostly for the purpose of psychotherapy. For two years, the patient's condition is stable.

 Thus, the claimed methodology was also effective in diencephalic syndrome, which is based on impaired circulation of the brain. As a result of a course of treatment consisting of two procedures, paroxysms persistently stopped despite the fact that the patient refused to take a therapeutic dose of a medicine that prevents the development and / or reduces the intensity of exacerbations.

 The following clinical example is of interest for understanding the mechanism of therapeutic action of the proposed method.

 Patient S., 50 years old, from the age of 30 suffered from recurrent headaches, repeatedly consulted by neuropathologists, neurosurgeons on this subject, and received recommendations for medical treatment. The disease sharply aggravated after the tragic death of his son - against the background of a pronounced sleep disturbance, headaches sharply increased, blood pressure steadily increased, unmotivated hostility to domestic animals and aggressiveness towards them, increased irritability appeared. Earlier, the patient had intolerance to novocaine, the idiosyncrasy of which was confirmed by a subcutaneous test. The procedure according to the described method was performed with physiological (0.9%) sodium chloride solution half an hour after a single subcutaneous injection of 2.0 ml of Relanium. After 5 days, the patient reported that the headaches stopped, the sleep returned to normal, without taking medications, the blood pressure indicators decreased and her eyesight improved slightly, an adequate and critical attitude to reality and those around her appeared, her mood was even. The achieved effect persists for more than six months.

 So, in the presented clinical observation, the removal of the patient from a pathological condition disturbed by a strong stress factor was achieved after one procedure according to the claimed method, but performed not with novocaine, but with physiological saline. Therefore, novocaine (as an active agent) does not play a decisive role in achieving a therapeutic effect. In addition, the treatment of clinical manifestations of disorders of the vertebral-basilar blood circulation in the form of headaches and sleep disorders was additionally accompanied by beneficial effects - normalization of mental status and blood pressure, and improved vision.

 Thus, the use of the proposed method for the treatment of circulatory disorders of the vertebral-basilar part of the brain, with known difficulties that can be corrected by existing methods, made it possible to achieve high-efficiency therapy with persistent remission in a short time and at minimal cost. In the age range from 8 to 85 years, we did not note the complications and adverse effects of the proposed method of treatment.

Claims (2)

 1. A method for the treatment of circulatory disorders of the vertebral-basilar part of the brain by local exposure to the posterior surface of the neck, characterized in that the skin and soft tissues are punctured in the dorsal surface of the vertebral-cranial junction and alternately along the middle and both paravertebral lines to the atlas arc fluid in a volume of 30-40 ml, infiltrating soft tissue outward from the posterior arch of the atlas; the course of treatment is 1-3 procedures with intervals between them of 7-10 days.  2. The method according to p. 1, characterized in that the liquid is administered novocaine, saline, glucose solution.