RESUMO
AIM: The study aimed at determining clinical and electromyography characteristics and developing the methods of CIPN treatment. MATERIAL AND METHODS: A clinical and electromyographic examinations and treatment of 30 with CIPN symptoms developed after polychemotherapy were performed. The authors developed treatment schemes included allopathic, homeopathic drugs, hydrotherapy and pharmacopuncture. RESULTS AND CONCLUSION: Most of the patients were diagnosed with axonal polyneuropathy with affection of long nerves of the limbs, some patients had a combination of axonopathy with myelopathy. After treatment, regression of neuropathy symptoms and improvement of quality of life was noted in all patients.
Assuntos
Antineoplásicos/efeitos adversos , Polineuropatias/diagnóstico , Polineuropatias/terapia , Qualidade de Vida , Antineoplásicos/uso terapêutico , Eletromiografia , Feminino , Homeopatia , Humanos , Hidroterapia , Masculino , Neoplasias/tratamento farmacológico , Polineuropatias/induzido quimicamenteRESUMO
Chemotherapy-induced peripheral neuropathy (CIPN) is one of the main problem of modern cytotoxic therapy. Drug dose reduction, delay or even complete stopping of chemotherapy until the regression of CIPN symptoms impair treatment effectiveness and patients' survival. We studied 44 cancer patients with CIPN developed after polychemotherapy. We suggested a treatment regimen that included a complex of allopathic, homeopathic drugs and hydrotherapy. The treatment resulted in a subjective and objective regression of neuropathy symptoms and improving of quality of life in all patients. Patients who had to delay chemotherapy were able to restart it.
Assuntos
Antineoplásicos/efeitos adversos , Homeopatia/métodos , Hidroterapia/métodos , Neoplasias/tratamento farmacológico , Síndromes Neurotóxicas/terapia , Polineuropatias/terapia , Antineoplásicos/uso terapêutico , Feminino , Seguimentos , Humanos , Masculino , Síndromes Neurotóxicas/etiologia , Polineuropatias/induzido quimicamente , Resultado do TratamentoRESUMO
Fifty-two patients (aged 15 to 78 years) suffering from facial hemispasm were treated by transcutaneous electric nerve stimulation (TENS). For this purpose electric-impulse apparatuses generating bipolar nonsymmetrical impulses were employed. The employment of TENS eliminated hyperkinesis for a period of several minutes to several hours. Interparoxysmal intervals lengthened and hyperkinesis became less pronounced. After a TENS session EMG showed no spontaneous activity in the form of "volleys of oscillations". A possible mechanism of TENS therapeutic effect in facial hemispasm is discussed.