JEFF CARMEN’S PASSIVE INFRARED HEMOENCEPHALOGRAPHY SYSTEM.

JEFF CARMEN’S PASSIVE INFRARED

HEMOENCEPHALOGRAPHY SYSTEM

HEG DISPLAY AND CONTROL UNIT

THRESHOLD SET AT 92.00, MOVIE HAS PAUSED

THRESHOLD SET AT 92.00, MOVIE IS PLAYING

HOW MANY SESSIONS DOES IT TAKE FOR

MIGRAINES?

• 4 TO 6 SESSIONS TO HAVE AN IMPACT (TYPICAL)

• ANOTHER 10 OR 20 OR 30 OR MORE TO FINE TUNE THE PROCESS

• SESSIONS ARE PROGRESSIVELY SPREAD APART BASED ON SYMPTOMS

CASE SERIES

pIR HEG HEADACHE TREATMENT SUMMARY

FOR THE LAST 100 (relatively “clean”)

MIGRAINES TREATED IN MY OFFICE

MALE (N=36)

• AVERAGE AGE: 37.76• RANGE OF AGES: 8.21 TO 67.31• DROPOUT BEFORE 6TH SESSION: 8

(22%)• IMPROVED IN 6 SESSIONS: 23 (64%)• IMPROVED EVENTUALLY: 28 (78%)• IF CONTINUED FOR AT LEAST 6

SESSIONS, IMPROVEMENT: 100%

FEMALE (N=64)

• AVERAGE AGE: 34.74• RANGE OF AGES: 11 TO 58.49• DROPOUT BEFORE 6TH SESSION: 16

(25%)• IMPROVED IN 6 SESSIONS: 38 (59%)• IMPROVED EVENTUALLY: 44 (69%)• IF CONTINUED FOR AT LEAST 6

SESSIONS, IMPROVEMENT: 92%

COMBINED MALE/FEMALE COMPLETING 6 OR MORE

SESSIONS (76)

• CONTINUED FOR AT LEAST 6 SESSIONS: 76

• IF CONTINUED FOR AT LEAST 6 SESSIONS, IMPROVED BY 6TH SESSION: 61 OF 76 (80%)

• IF CONTINUED FOR AT LEAST 6 IF CONTINUED FOR AT LEAST 6 SESSIONS, IMPROVEMENT: 72 OF 76 SESSIONS, IMPROVEMENT: 72 OF 76 (95%)(95%)

HEADACHE IMAGES IN INFRARED

• HEAT OUTPUT COLOR CODE: • BLACK IS COLD• WHITE IS HOT• RANGE: ABOUT 10 DEGREES (F)• JUST NOTICABLE DIFFERENCE .1 DEGREE

(F)

11YO, MALE

• PRE TREATMENT:• PAIN INTENSITY: 8 to 10• DURATION: 1 month migraine (status)• # SESSIONS: 7• POST TREATMENT:• NO HEADACHES, 2 MONTH

FOLLOW-UP (IMPROVEMENT AFTER FIRST SESSION)

11YO, MALE 12/13/01

11YO, MALE 8/26/02

11YO, FEMALE

• PRE TREATMENT:• PAIN INTENSITY: 6 to 10• DURATION: 2 month, baseline 6, surge

to 10, daily afternoon migraine • # SESSIONS: 5• POST TREATMENT:• NO HEADACHES, 2 MONTH

FOLLOW-UP

11YO, FEMALE 5/16/02

11YO, FEMALE 7/15/02

15YO, MALE

• PRE TREATMENT:• PAIN INTENSITY: 3 to 10• FREQUENCY: daily, mostly mornings, 3

months• DURATION: 4 hours per migraine • # SESSIONS: 9• POST TREATMENT:• Not finished but stable, 10 per month, pain 0

to 5

15YO, MALE, 6/11/02 11:30am

15YO, MALE, 8/19/02, 8:10am

15YO, MALE, 7/26/02, 6:56am

15YO, MALE, 7/26/02, 7:58am

15YO, MALE, 8/12/02 8:26am, mild migraine

DISCUSSION OF CASE SERIES

• IMPROVEMENT IN MIGRAINE CORRELATES WITH INCREASED FRONTAL ACTIVITY

• MY BEST GUESS IS THAT THE MECHANISM HAS SOMETHING TO DO WITH INHIBITION AND TIGHTENING OF NEGATIVE FEEDBACK LOOPS

END OF “100 MIGRAINES”