RU2501584C1 - Method of treating encephalopathy in children - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely - to physiotherapy, paediatrics and neurology. The patient is exposed to a EEG-assisted combination of a magnetic field and laser light. The exposure involves a running magnetic field in a continuous mode. The inductance is 6-40 mT, and frequency is 50 Hz. The exposure involves laser light at wave length 0.85-0.9 mcm, frequency 50 Hz, power 3.5-5 mWt. The exposure is bitemporal along the spinal column at the level of C1-L1. Duration of a procedure is 10-12 minutes. The procedures are daily. The therapeutic course is 10 procedures.

EFFECT: higher clinical effectiveness ensured by activation of the cognitive functions.

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Description

The invention relates to medicine, namely physiotherapy, pediatrics, neurorehabilitation, neurology, and can be used to treat children aged 1 to 14 years with perinatal encephalopathy and its consequences in the form of syndromes of residual-organic brain damage.

A known method of treating encephalopathy in children with impaired motor function due to perinatal brain damage by exposure to a magnetic field of 35 mT inductance, a frequency of 10 Hz on the cervical and lumbar region for 5-10 minutes with a course of 8-10 procedures (Gurova N.Yu., Babin L.M. Efficiency of dynamic magnetotherapy with a modulation frequency of 10 Hz in the sanatorium rehabilitation complex for children with cerebral palsy // Transcranial magnetotherapy / Collection of articles edited by G.N. Ponomarenko, N.V. Bolotova, Yu.M. Raigorodsk wow .-- Saratov: Publishing house of the Sarat.med.un. - 2008. - P.74-82.). However, the method is not effective enough to correct brain metabolic disorders and does not allow to activate cognitive functions, since there is no directed stimulation of neuronal excitability and axonal conductivity of the brain.

A known method of treating encephalopathy in children, including magnetic stimulation with a high-intensity magnetic field with an amplitude of magnetic induction up to 3.0 T, frequency 0.1-0.2 Hz of the affected cortical centers and spinal roots and nerves on the side of denervation for 1-2 minutes and magnetic and electrical stimulation with a sinusoidal modulated current of the neuro-receptor and neuromuscular apparatus of the denervated organ (Tyshkevich T.G., Bersnev V.P., Margolin E.G., Skoromets A.A., Nikitina V.V. Method for treating patients with impaired motor, feel of natural and speech functions due to organic lesions of the nervous system: Guidelines. - St. Petersburg, 1995. - 16 p.) However, high-intensity transcranial magnetic stimulation can provoke the formation of epileptic syndrome (Hufnagel A., Elger CE, Durwen HF, Boker DK, Entzian W Activation of the Epileptic Focus by Transcranial Magnetic Stimulation of the Human Brain // Ann. Neurol. - 1990. - N27. - P.49-60). The method is insufficient to correct brain metabolic disorders.

Closest to the claimed is a method for the treatment of encephalopathy in children (Kravtsov Yu.I., Shevchenko K.V. Dysfunction of nonspecific brain systems in case of abscess epileptic seizures in children and the possibility of its correction with magnetic laser radiation // Journal of Neurology of the Urals and Siberia. - 1999. - No. 9. - P.40-44.), Adopted for the prototype. Influenced by low-intensity laser radiation (LLLT) with a wavelength of 0.98 μm, a power of 10 mW and a magnetic field of 10 mT inductance on the region of the cervical sympathetic nodes on both sides for 2 minutes through emitters with an area of 2.5 cm ^{2 in a} course of 6 procedures under EEG control . The method is aimed at reducing brain epilepticization due to the correction of autonomic disorders.

However, the prototype is not effective enough and does not provide activation of cognitive functions, since:

- the impact of a constant magnetic field on peripheral vegetative structures cannot create the effect of directed stimulation of neuronal excitability and axonal conduction of the brain;

- The effect of LLLT on peripheral vegetative structures is not enough for the full activation of brain metabolism.

The invention is aimed at creating a method for the treatment of encephalopathy in children, which provides an increase in the effectiveness of treatment due to the activation of cognitive functions.

The specified technical result in the implementation of the invention is achieved by the fact that in the known method of treating encephalopathy in children by exposure to a magnetic field and LLLT infrared range under EEG control, the peculiarity is that they are exposed to a running magnetic field in a continuous mode with an inductance of 6-40 mT, frequency 50 Hz synchronously with laser radiation with a wavelength of 0.85-0.9 μm, a frequency of 50 Hz, a power of 3.5-5 mW, act simultaneously bitemporally and along the spinal column at the level of C1-L1, the duration of the procedures s 10-12 minutes, a course of 10 daily procedures.

A running magnetic field makes it possible to activate neuronal excitability and axonal conductivity of the brain significantly more than constant due to direct transcranial exposure. Not only neurons of the cerebral cortex are activated, but also the median subcortical-stem structures of the brain due to the summation of the stimulating effect from magnetic inducers located opposite each other. The physiological nature of the diffuse effect on the brain avoids the strengthening of foci of epileptiform activity. The frequency of 50 Hz during transdermal exposure is optimal for the activation of the brain zones responsible for memory (Ankylosing spondylitis. Healthy and diseased human brain. - L .: Nauka, 1980. - P.167.). A running magnetic field allows you to correct the venous blood flow of the brain (Matyash M.N. Electrostimulation and magnetolaser therapy in the rehabilitation treatment of patients with cerebral venous dystopia in traumatic encephalopathy // II International Congress of Restorative medicine and rehabilitation. - M., September 20-21, 2005 )

LILI activates the metabolism and blood flow of the brain and spinal cord, as well as metabolic processes in the cerebrospinal fluid indirectly due to direct laser exposure to the vessels of the pool of the external carotid arteries and tissues of the spinal column. An infrared LLLT with a wavelength of 0.85-0.9 μm in a volume of 70% is reflected and absorbed by the soft tissues of the skull and cranial bones (Ohshiro T. Low Reactive Level Laser Therapy. - 1991. - 264 p.), Which prevents possible negative reactions of the brain in response to direct laser irradiation. Moreover, the LLLT neuroptropicity refers mainly to glial structures, which ensures the activation of memory, as the most important cognitive function, the carriers of which are neuroglial brain populations.

Diffuse action on the central nervous system by a running magnetic field and LLLT promotes the activation and development of memory and speech, the brain supply of which is distributed across the cortical-subcortical structures of the brain (N. Bekhtereva, Healthy and diseased human brain. - L .: Nauka, 1980. - P. 170-171.). Magnetic and laser effects on the projection of the spinal cord contribute to the activation of the neuroaxonal pathways of the motor and sensory analyzers, autonomic structures, in particular the sympathetic chain. The quality and dynamics of cerebrospinal fluid, the functioning of life support systems through segmental levels of regulation are improved, which improves the metabolism of the brain and the body as a whole.

The method is as follows.

Immediately before the start of treatment, an EEG study is performed, including a traditional EEG with a quantitative assessment of brain biorhythms of various ranges, evoked potentials - auditory, visual, somatosensory, cognitive.

Carry out the procedure of magnetic laser therapy. The child is laid on a couch on his stomach. The baby's face is slightly turned to the side for free breathing. They act simultaneously bitemporally and along the spinal column at the level of C1-L1 by a running magnetic field and infrared LLLT in synchronous mode. Influenced by an alternating magnetic field in a continuous mode with a frequency of 50 Hz, an inductance of 6-40 mT. The LLLT is simultaneously affected by a wavelength of 0.85-0.9 μm, a pulse duration of 100 ± 50 ns, a frequency of 50 Hz (a carrier frequency of 1500 Hz) and a power of 3.5-5 mW (in a pulse of 10-30 V). The exposure parameters depending on the age of the children are shown in table 1.

Table 1 Age in years Magnetic field inductance Power LILI 1-3 6-10 MT 3.5 mW 4-5 9-15 MT 3.5 mW 6-7 9-16 MT 3.5-5 mW 8-11 21-27 MT 5 mW 12-14 34-40 MT 5 mW

The duration of the procedure is 10-12 minutes. The course of treatment includes 10 daily procedures.

A control EEG study (quantitative EEG, evoked potentials) is performed immediately after treatment, in the near and distant past history. In the presence of positive clinical and EEG signs, the treatment is repeated after 6-12 months. In the absence of positive dynamics or the manifestation of markers of a negative reaction, which reflects the depletion of the resources of the protective reactions of the brain, magnetolaser therapy courses are not repeated.

The method has undergone clinical trials in the clinic of the Institute of Physics and Mathematics of the Russian Academy of Sciences in the treatment of 38 children aged 1 to 14 years with perinatal encephalopathy and its consequences in the form of syndromes of residual-organic brain damage. Treatment was received by 22 boys and 16 girls. Delay in psychomotor development occurred in 25 children - moderate in two, moderate in 10 and severe in 13 children. The delay in psycho-speech or mental development was diagnosed in 13 children — moderate in three, moderate in two, and pronounced in 8 children. In the clinical picture, fast exhaustion when switching attention, emotional dullness, passive behavior or hyperactivity, decreased or lack of self-care skills, difficulty in learning to perform these and new skills (riding a bicycle, drawing, etc.) were observed. Speech disturbances in the form of alalia, impoverishment of speech, dysarthria varied depending on the age and degree of brain damage. Impairment of motor activity consisted of fatigue and motor disinhibition with moderate developmental delay, hemiparesis of 2-3 points with limited motor skills with an average degree and tetraparesis of 1-2.5 points with lack of motor skills with a pronounced delay. Spasticity ranged from 1 to 4 points. There was vegetative dystonia in all patients, with a pronounced delay - salivation against the background of hyper- or hypohidrosis.

MRI and PET studies indicated cystic atrophic changes in the brain, asymmetric hydrocephalus, depletion of corticospinal and corticothalamic tracts, corpus callosum hypoplasia, diffuse or local glucose hypometabolism. An ultrasound scan revealed a decrease in perfusion, venous dyshemia, constrictive-angiospastic type of vascular change, and a decrease in the vasocompensatory reserve of varying degrees.

An EEG study revealed disorganization of brain rhythms, pronounced hyperactivity of stem structures, diffuse disorders of ascending thalamocortical influences with a moderate degree of delay. With an average degree, the deformation and disorganization of the spatial-zonal distribution of the background rhythm of the brain, pronounced interhemispheric asymmetry, and pacemakers of epileptiform activity were determined. With a pronounced delay in the EEG pattern, similar changes were observed, as well as diffuse changes in the bioelectrical activity of the brain according to the epileptiform type, outbreaks of non-specific slow-wave activity of theta and delta ranges. A study of evoked auditory, visual and somatosensory potentials noted a decrease in the speed and amplitude of potentials and an extension of the latent period. Analysis of cognitive evoked potentials showed a decrease in the speed of cognitive processes upon presentation of stimuli of various characteristics.

All children underwent a course of magnetolaser therapy according to the proposed method. We used a physiotherapy apparatus for magneto-and LED infrared laser therapy "TRANSCRANIO" (000 "TRIMA", Saratov) with the dimensions of the emitters (in mm) presented in table 2.

table 2 Emitter Length Width Depth NILI aperture diameter The distance between the axes of the apertures "Headband for children" 102 35 35 10 26 "Prismatic children" 94 35 thirty 10 28 "Headband" 163 53 64 12 39 "Prismatic" 128 66 42 12 37

Running magnetic field emitters with built-in LLLT emitters were located on open surfaces of the body. A pair of headband emitter with concave internal surfaces in accordance with the size of the head was strengthened with bitemporal soft holders. A “prismatic” paired emitter was placed on the back along the spinal column in the projection of the spinal cord at the C1-L1 level with narrow narrow surfaces directed to each other, which touched or had a gap if the child was tall. Influenced simultaneously transcranially and on the back area with a running magnetic field and infrared LLLT in synchronous mode. The emitters used, depending on the age of the children are shown in table 3.

Table 3 Age in years Emitters 1-3 “Headband for children” and “prismatic for children” 4-5 “Headband for children” and “prismatic for children” 6-7 “Headband for children” and “prismatic for children” or “headband” and “prismatic” (depending on the size of the head) 8-11 Headband and Prismatic 12-14 Headband and Prismatic

Immediately after treatment, in most patients, there was a significant improvement or improvement, which consisted of increasing exercise tolerance, reducing exhaustion, which made learning difficult, and the absence of convulsive manifestations. There was a tendency to expand the number of sounds and sound combinations, stabilization of articulation, strengthening global reading, arranging syllables and words. The daily rhythm of sleep and wakefulness improved, the children became calmer and more collected. In paretic extremities, spasticity decreased by 1-2 points and motor activity increased by 0.5 points, phonation improved, salivation decreased. In children with severe developmental delay, elements of skills of holding the head, eye tracking, holding objects with the hand, sitting, standing, walking skills began to appear. With moderate to moderate delay in children, communication and self-care skills stabilized, and they became more adequate. We observed relief of chronic headache, which was before treatment in 2 children, increased emotional tone, decreased symptoms of hyperactivity. A significant improvement was found in 22 (57.9%) children, an improvement in 13 (34.2%), without change in three (7.9%).

According to PET, there was a decrease in the degree of glucose hypometabolism. An ultrasound examination revealed an improvement in perfusion due to the relief of angiospastic reactions, and an increase in the vasocompensatory reserve.

In the EEG, there was a decrease in diffuse changes, the manifestation of focal changes, the tension and diffuseness of the discharge forms decreased, and the modality of the main rhythm improved. There was an increase in the speed and amplitude of auditory, visual and somatosensory evoked potentials, and a shortening of their latent period. In some cases, there was a manifestation of somatosensory evoked potentials that were absent before treatment of cortical components, reflecting the restoration of thalamocortical conduction. An increase in the speed of cognitive evoked potentials was recorded.

Positive dynamics in the form of a pace of acceleration of child development continued in the coming months, there were no convulsive manifestations. The pace of development slowed down somewhat after 6-12 months. After conducting repeated courses of magnetolaser therapy according to the proposed method, positive dynamics were again observed in the form of tempo accelerated development. In the EEG picture, the tendency to normalize the bioelectric activity of the brain continued. The decreased tension and prevalence of slow-wave and epileptiform activity, the stability of the main rhythm, and the ordering of brain rhythms were noted.

We give examples - extracts from medical records.

Example 1. Patient D., 5 years old, was undergoing rehabilitation at the clinic of the PMI RAS from 11/14/2011 to 12/06/2011. Diagnosis: Consequences of perinatal encephalopathy. Delayed psychomotor development of a moderate degree. Neuropsychological examination showed rapid exhaustion, distraction, hyperactivity, understanding of speech below normal, a dictionary with distorted words, a significant difficulty in oral praxis in the paretic and aprastic type (difficulty in moving the tongue, chewing). The child knew hygiene skills, drew and distinguished drawings. The data indicated a mental retardation with impaired speech praxis - a combination of dysarthria with systemic underdevelopment of speech function. In neurological status, left-sided cerebral spastic hemiparesis of 2.5-3 points, spasticity of 2 points, convergent squint. An MRI scan indicated atrophic changes in the brain and reported hydrocephalus.

In the EEG on November 16, 2011, an irregular alpha rhythm of an average amplitude of 50 μV, unmodulated, without a clear zonal distribution, distorted by theta and beta activity was recorded, according to the spectral analysis, is unimodal, of the greatest power in the form of an increase in amplitude values in the fronto-central and parietal leads. The reduced sharp waves of an alpha range in temporal assignments were registered. During functional tests, the reduced acute-slow wave complexes appeared in the frontal and temporal leads. The data indicated diffuse changes in the bioelectrical activity of the brain, dysfunction of the median stem structures at the diencephalic level, an increase in the synchronizing thalamocortical effect, and the appearance of more pronounced local changes in the bioelectric activity of an irritative nature during functional loads in the temporal and frontal areas. In the study of evoked potentials, relative dysfunction of auditory auditory conduction on the left was determined with a decrease in the functional activity of auditory nuclei at the mesencephalic level, a decrease in the rate of differentiation of auditory stimuli of various characteristics, which reflected a decrease in the speed of cognitive processes.

A course of magnetolaser therapy according to the proposed method. Influenced simultaneously bitemporally and on the back with the help of emitters "headband for children" and "prismatic for children" with an alternating magnetic field in a continuous mode with a frequency of 50 Hz, inductance 9-15 mT and synchronously LLLT with a wavelength of 0.85-0.9 microns, frequency 50 Hz, with a power of 3.5 mW from the TRANSCRANIO apparatus for 10 minutes with a course of 10 daily procedures. After treatment, the boy became calmer, attentive in the classroom with a speech therapist and exercise therapy, became more confident gait and following instructions. The pronunciation improved, the volume of speech production expanded, the volume of active movements increased to 3-3.5 points, spasticity decreased to 1 point.

Re-hospitalization in the clinic of the Institute of Physics and Mathematics of the Russian Academy of Sciences after 8 months, from August 13, 2012 to August 31, 2012, medical history 960. During the examination, elements of mental retardation with impaired speech function in the form of dysarthria and speech underdevelopment were preserved, the volume of active movements in the left paretic limbs 3, 5 points, spasticity 1+ points.

In the EEG of 08.16.2012, the main rhythm is regular, with an average frequency of 7.5 Hz, not modulated, moderately increased synchronization, zonal differences are smoothed out. Frequent synchronous acute-slow wave complexes were recorded primarily in the right temporal and fronto-central leads, with a focus on the amplitude on the left. Under functional loads, these complexes became more frequent and increased in amplitude in the right temporal leads. The data indicated a delay in the formation of cortical-subcortical relationships against the background of dysfunction of the median stem structures at the diencephalic level with the presence of local epileptiform activity. In the study of evoked potentials, it was found difficult to determine auditory thresholds, the main peak-to-peak intervals I-V are within normal limits, and the relative decrease in the amplitude of the V wave during stimulation on the right. Upon presentation of standard and deviant auditory stimuli, a positive wave of sufficient amplitude was recorded with a moderately pronounced increase in the latent period to 439 ms (age norm 400 ms). The data testified to the normalization of the velocity along the auditory canals with a moderate decrease in the functional activity of the auditory nuclei at the mesencephalic level on the right, and an improvement in cognitive processes.

A repeated course of magnetic laser therapy according to the proposed method. After treatment, continued positive dynamics were established. During a neuropsychological examination, mental development corresponding to age was established, the general underdevelopment of speech with a predominance of a dysarthria component, the lack of formation of visual gnosis and visual-spatial functions due to deficiency of the right hemisphere structures remained. Good learning ability was noted. The volume of active movements in the left paretic limbs remained within 3.5 points, however, movements were facilitated by reducing spasticity to 0-1 points. The volume of motor skills increased, began to engage in a bicycle ergometer.

On 29.08.2012, the EEG subdominated the main rhythm with an average frequency of 8 Hz, bimodal, weak modulation, moderately increased synchronization, zonal differences were smoothed out, theta rhythm with a frequency of 6.5 Hz dominated in power. Reduced acute-slow wave complexes were recorded primarily in the right temporal occipital and fronto-central leads, moderately increasing under functional loads. Compared with the EEG of 08.16.2012, there was a positive trend in the form of a decrease in dysfunction of the median stem structures at the diencephalic level, a diffuse and local decrease in the power of slow waves, a slight increase in the alpha rhythm power in the central region, and a decrease in the severity and prevalence of local epileptiform activity.

From the presented example it follows that the courses of magnetolaser therapy according to the proposed method accelerated the child's psychomorphic development with developmental delay due to perinatal encephalopathy in the form of restoration of cognitive processes, expressed in the emergence and consolidation of motor skills, improvement of neuropsychological status up to the age norm and speech praxis with a decrease in dysarthria. EEG studies revealed a period of dominance of slow-wave activity, as a sign of activation of the brain's defense reactions, its compensation, a more adequate zonal distribution of the main rhythm, a decrease in irritative changes, and the presence of markers for the restoration of cognitive processes.

Example 2. Patient R., 11 years old, was in rehabilitation at the clinic of the PMI RAS from 05/29/2011 to 06/10/2011, medical history 703. Diagnosis: Consequences of perinatal encephalopathy. Severe mental retardation. In the clinical picture against the background of asthenic syndrome (headaches, sleep disturbance, irritability, fatigue), negativity was revealed up to aggressiveness, elements of motor awkwardness, periodic tics and poor learning ability in the correction program. For a long time received depakine. A neuropsychological study found a pronounced delay in mental development, a violation of communicative functions. The patient is characterized by an unstable mood, quick exhaustion, impulsivity, and a low level of intellectual-mnestic functions. I understood the speech, but was at a loss with details. There was dysgraphia and dyslalia in the form of poorly coordinated words and syllables. An MRI scan revealed a periventricular cerebrospinal fluid cyst in the left parietal region, hypoplasia and pathological tortuosity of the left vertebral artery. A PET study found diffuse glucose hypometabolism (in the temporal and frontal lobes, optic tubercles, cerebellum, brain stem).

Reduced epileptiform activity (sharp waves, acute-slow wave complexes) was recorded in the EEG on 06/09/2011 mainly in the frontal areas against the background of diffuse changes in bioelectric activity and dysfunction of the median stem structures. A study of evoked cognitive potentials on May 30, 2011 showed a decrease in the speed of moderate cognitive processes when visual stimuli of various characteristics were presented (P300 component latency was 548 ms) and various stimuli were presented with auditory stimuli (P300 component latency was 600 ms). The data testified to the hyperfunction of individual brain systems, as a sign of a stable pathological condition, and a decrease in the adequate functioning of the brain, predicted the possible formation of epileptic foci.

A course of magnetolaser therapy according to the proposed method. Influenced simultaneously bitemporally and on the back with the help of emitters "headband" and "prismatic" by an alternating magnetic field in a continuous mode with a frequency of 50 Hz, inductance 21-27 mT and synchronously LLLW with a wavelength of 0.85-0.9 microns, a frequency of 50 Hz, 5 mW of power from the TRANSCRANIO apparatus for 12 minutes with a course of 10 daily procedures.

During treatment for 2 days there were difficulties falling asleep, starting from 3 days, relief of headache was noted. After treatment, a decrease in irritability, aggressiveness, lack of convulsive equivalents was noted, the child became more adequate when communicating with relatives and people around him, including verbal. There was a tendency to stabilize mental status.

He was re-hospitalized at the clinic of the Institute of Physics and Mathematics of the Russian Academy of Sciences after 6 months, from 12/11/2011 to 12/23/2011, medical history 1448. When examined using the Wechsler test, pronounced emotional lability, a decrease in criticism of one's behavior, difficulty concentrating and switching attention, and weak memory were revealed. Could repeat the named 10 words only after 10-fold repetition (normal after 3-5-fold). The amount of short-term memory was reduced and amounted to 4 information units. Specific functional thinking. Social intelligence is below the age norm. The data testified to mnestic disorders and weakening of attention in terms of the organic type, the uneven nature of the motivational-volitional function of the intellect, and indirect signs of affective-personal changes. The psychiatrist confirmed psychopathic behavior.

In the EEG picture 12/12/2011 in comparison with the data 09/06/2011 was not recorded reduced epileptiform activity in the frontal areas. There were more pronounced local epileptiform changes in the occipital-parietal region on the left (sharp waves, acute-slow wave complexes), single reduced acute waves in the left temporal and right occipital regions. Moderate diffuse changes in bioelectric activity and dysfunction of the median stem structures remained at the diencephalic level. In the study of evoked cognitive potentials in comparison with the study of May 30, 2011, an increase and relative normalization of the speed of cognitive processes was noted when visual stimuli of various characteristics were presented. The latency of the P300 component upon presentation of visual stimuli decreased from 548 ms to 345 ms, the amplitude of N2P3 was 15-17 μV. The latency of the P300 component upon presentation of auditory stimuli was 389-401 ms, the amplitude of N2P3 was 17-20 μV. The latency of the P300 component upon presentation of auditory stimuli of various characteristics decreased from 600 ms to 389-401 ms. The latency of evoked cognitive potentials has almost reached the age norm of 340 ms. The data indicated a continuing trend towards a decrease in signs of hyperactivity of the brain systems, the prevailing sound of local changes, and the restoration of cognitive processes.

A repeated course of magnetic laser therapy according to the proposed method from 10 daily procedures. Immediately after the course of treatment, despite the remaining signs of negativity (rudeness), the boy became more attentive, balanced, began to watch feature films. In the EEG on December 23, 2011, the continuing positive dynamics was confirmed - local epileptiform changes became less pronounced. Single reduced sharp waves were recorded in the left temporal region, local irritative changes in bioelectric activity in the frontal and temporal regions with an emphasis on the amplitude on the left.

From the presented example it follows that the courses of magnetolaser therapy according to the proposed method corrected the mental development of the child, impaired due to perinatal encephalopathy, in the form of restoration of cognitive processes, expressed in compensating for the symptoms of psychopathic behavior, the emergence and consolidation of intellectual and mnemonic skills. EEG studies have confirmed a steady tendency to compensate for the hyperactivity of brain structures, mainly responsible for the emotional-volitional sphere, as a sign of a stable pathological condition, and to restore the parameters of cognitive potentials almost to the age norm.

Using the proposed method provides an increase in the effectiveness of the treatment of encephalopathy in children of various origins due to the activation of cognitive functions.

Claims (1)

A method for the treatment of encephalopathy in children by exposure to a magnetic field and low-intensity laser radiation of the infrared range under EEG control, characterized in that they are affected by a traveling magnetic field, in continuous mode, with an inductance of 6-40 mT, a frequency of 50 Hz, synchronously with laser radiation with a wavelength of 0 , 85-0.9 μm, a frequency of 50 Hz, a power of 3.5-5 mW, act simultaneously bitemporally and along the spinal column at the level of C1-L1, the duration of the procedure is 10-12 minutes, a course of 10 daily procedures.