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Effectiveness of early surgery over usual waiting list surgery (medical therapy) in Childhood Drug Refractory Epilepsy-(CDRE)

Phase 3
Completed
Conditions
Health Condition 1: null- Childhood Intractable EpilepsyHealth Condition 2: G409- Epilepsy, unspecified
Registration Number
CTRI/2010/091/000525
Lead Sponsor
All India Institute of Medical Sciences AIIMS
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
116
Inclusion Criteria

1) All children with DRE patients: age �18 years.

2) Patients having DRE, defined as failure of adequate trials of two tolerated and appropriately chosen and used anti-epileptic drug schedules for years to achieve sustained seizure freedom.

3)All patients should have been cleared by the Unit III-epilepsy surgery-case conferences team.

4)All parents of patients or Legally Acceptable Representative (LAR)should be able to give Consent for participation.

Exclusion Criteria

1) All patients who have underlying metabolic abnormality, cardiac abnormality, renal failure and respiratory disease.

2) Those patients having Status Epilepticus requiring early or immediate surgery(as these are not put in wait list).

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome will be to assess the seizure freedom between the two groups by International League Against Epilepsy (ILAE) Scale or Engels Scale at 12 monthsTimepoint: Baseline, Six months and one year follow-up.
Secondary Outcome Measures
NameTimeMethod
To assess the differences in the occurrence of seizures over a period of 12 months, and seizure-severity, cognition, behavior and quality of life by the following measures: the Hague seizure Severity (HASS) scale, Binet Kamat Test (BKT ) and Vineland Social Maturity Scale (VSMS), Child Behavior Check List (CBCL) ,Pediatrics Quality of Life (PedsQL), respectively.Timepoint: Baseline,Six months and One year follow-up
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