RESUMO
Orthostatic tests with printing recording of EEG, REG, RVG were used to examine the functional status of the truncal level of circulatory regulation in patients with brain confusions. Within the first 24 hours after brain injury there was a significant reduction in the pulse blood filling of cerebral vessels in the vascularization areas of carotid and vertebral arteries along with higher vascular tone; pulse blood filling of peripheral vessels in the lower extremities remained normal with a marked decrease in their vascular tone. Orthostatic tests showed the asymmetric enhancement of a dilating arterial response in the virtual absence of a constrictive response of lower extremity vessels. Following 2-3 weeks of brain injury, cerebral and peripheral hemodynamics tends to normalize: in orthostasis, the responsive dilatation of cerebral vessels diminished, inter-hemispheric asymmetry levelled; as compared to the normal values, cerebral vasodilation, however, remained enhanced with drastically suppressed peripheral vascular responsiveness. The described impaired vascular responsiveness were more evident in the presence of EEG truncal dysfunction syndromes. The findings suggest that central regulatory disorders of vascular tone play an important role in the pathogenesis of traumatic brain disease. A particular phasic periodicity of vascular responses to orthostatic exposure, which are characteristic of the acute and early rehabilitative periods of moderate brain injury.
Assuntos
Circulação Sanguínea , Concussão Encefálica/fisiopatologia , Circulação Cerebrovascular , Postura/fisiologia , Adolescente , Adulto , Concussão Encefálica/diagnóstico , Eletroencefalografia , Humanos , Pessoa de Meia-Idade , Periodicidade , Pletismografia de Impedância , Hemorragia Subaracnóidea/diagnóstico , Hemorragia Subaracnóidea/fisiopatologia , Fatores de TempoRESUMO
The authors propose the new therapeutical technique of intraosseous electrostimulation for arthrosis deformans. The technique consists in that electric current is applied just to the area of joint lesion. It is highly effective, halves the period of therapy, reduces the frequency of relapses.
Assuntos
Terapia por Estimulação Elétrica/métodos , Osteoartrite/reabilitação , Terapia Combinada , Terapia por Estimulação Elétrica/instrumentação , Estudos de Avaliação como Assunto , Seguimentos , Humanos , Articulação do Joelho , Agulhas , Osteoartrite/epidemiologia , Osteoartrite do Quadril/epidemiologia , Osteoartrite do Quadril/reabilitação , Recidiva , Indução de RemissãoRESUMO
Endonasal electrophoresis with alpha-glutamic acid was used in 76 patients with severe craniocerebral injury. The result was good in 24 (38%) and satisfactory in 40 (55%) patients. Thus, a positive result of treatment was obtained in 88% of cases, which was confirmed by electrophysiological and neuropsychological studies. The method produced the greatest effect on the patients' psychic status: 74% of all disorders of higher psychic functions, mainly memory, were restored on the average by the end of treatment. Good tolerance of electrophoresis and its efficacy in the early period after severe injury, i. e. in the first month, were established. Contraindications for treatment were defined more precisely. Since the method is simple and does not call for special conditions, it may be widely used in any medical establishment equipped with galvanization apparatuses.