Experience in the application of non-invasive neuromodulation in the angioneurology

Abstract

The electromagnetic field is a fundamental factor of objective reality, when exposed to the brain causes the appearance and development of a complex of functional changes that help in the study of the properties of the nervous system itself. Non-invasive neuromodulation is a therapeutic exogenous effect on various parts of the nervous system (mainly vegetative) with the help of electromagnetic physical (electric, magnetic) factors in the course of drug therapy in accordance with the standards of care specifically for each nosological form. The article discusses the role of interhemispheric asymmetry in the pathogenesis of cerebrovascular diseases and effectiveness of the method of transcranial electrostimulation with feedback in the form of electroencephalography using the apparatus TATOS in the rehabilitation of patients with cerebrovascular pathology, including early recovery period of ischemic stroke
 Purpose: to identify clinical and neurophysiological features in patients with cerebrovascular pathology during transcranial electrotherapy with feedback.
 Material and methods. Total 105 patients with vascular pathology of the brain were studied, including 35 patients after ischemic stroke in the early recovery period with mild or moderate neurological symptoms, 70 patients with chronic cerebrovascular insufficiency. The average age is 56 3.6 years old. A comprehensive clinical, neurophysiological, and neuroimaging study was conducted. The course of non-invasive neuromodulation was performed against the background of medical treatment in accordance with the medical standards with the use of a pulse generator TETOS with feedback in the form of electroencephalography.
 Results. The study of the parameters of neurodynamic interhemispheric asymmetry showed that in patients who underwent onmc in the left middle cerebral artery basin, the localization of the ischemic lesion in the right middle cerebral artery basin was observed in the form of an increase in the interhemispheric coherence of the main electro-encephalographical rhythms with a predominance of slow-wave activity. After a course of non-invasive neuromodulation, the majority of patients in the main group noted an improvement in their well-being: headaches, dizziness, irritability, anxiety and anxiety, tension, significantly improved emotional state, and sleep normalized. The study of parameters of dynamic interhemispheric asymmetry has shown that when conducting transcranial electrotherapy with feedback in patients who have undergone stroke, depending on the localization, its decrease is noted, as well as normalization of the distribution of alpha rhythm in zones, depending on the localization of the focus.
 Conclusions. The overall assessment of the effect of treatment in the whole group revealed a clear prevalence of positive results when using TАTOS-therapy.