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Spinal Motor Evoked Potentials in Brain Surgery

Conditions
Glioma
Brain Tumor
Registration Number
NCT02402075
Lead Sponsor
Heinrich-Heine University, Duesseldorf
Brief Summary

During neurosurgical resection of brain tumors within brain areas for motor control, it is important to monitor motor function. For this muscle motor evoked potentials are used. Those are elicited by transcranial and direct cortical stimulation. Motor responses are recorded from muscles. In neurosurgical procedures for spinal cord tumors, the same methods are used, but additionally motor activity is recorded from the spinal cord. This is called spinal motor evoked potentials. It is known that the relation between spinal and muscle motor evoked potentials helps to extent the resection of spinal cord tumors. This study implements the spinal motor evoked potential into brain tumor surgery and analyses the relationship between spinal and muscle motor evoked potentials. With this, detection of injury to the brain area for motor control might be discovered earlier and thus tumor resection can be performed safely.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  • > 18 years
  • tumor location adjacent to the motor cortex and corticospinal tract
Exclusion Criteria
  • minor
  • neurological degenerative diseases
  • neurological immunological diseases
  • drug abuse
  • implanted medical devices such as cardiac pacemaker
  • spine deformation

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Clinical motor status according to the MRC scheme6 months

clinical motor status according to the MRC scheme

D-wave measurement24 hours

numeric assessment, amplitude and latency of D-wave

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Neurosurgical Department

🇩🇪

Duesseldorf, Germany

Department of Neurosurgery

🇩🇪

Frankfurt, Germany

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