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Repetitive transcranial magnetic stimulation (rTMS) therapy for focal epilepsy in children

Not Applicable
Conditions
Health Condition 1: G969- Disorder of central nervous system, unspecified
Registration Number
CTRI/2022/04/041842
Lead Sponsor
DGAFMS
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Children and adolescents of either sex aged 4 -18 years diagnosed with drug refractory epilepsy as per with ILAE 2017. Drug refractory epilepsy will be defined as � 1 seizure / week OR 4 seizures/month despite on � 2 appropriately chosen and optimally prescribed antiepileptic drugs.

1.Duration of epilepsy for atleast 1 year

2.Seizures of single semiology

3.Majority (75%) of Interictal epileptiform discharges (SWI) arising over a single epileptogenic focus on sleep EEG

4.Parents/ guardians willing to follow the treatment protocol of daily sessions for 10 days in 2 week with Sunday off and hospital follow up at 12 weeks of total study period

Exclusion Criteria

1.Hemispheric epilepsy syndromes such as Rasmeussenââ?¬•s encephalitis, Hemiconvulsion-hemiplegia epilepsy syndrome or Hemimegalancephaly.

2.Diagnosed epileptic encephalopathy other than focal ESES (Electrical status epilepticus in sleep)

3.Diagnosed progressive neurological disorder

4. Previous epilepsy surgery or vagal nerve stimulation insertion.

5.Patient waitlisted for epilepsy surgery within 6 months

6.Presence of Metallic implants anywhere in the body.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To determine the proportion of children and adolescents between 4-18 years, with drug resistant epilepsy, who achieve 50% seizure reduction at 12 weeks follow up compared to baseline. <br/ ><br> <br/ ><br>Timepoint: At baseline <br/ ><br>At 12 week post therapy
Secondary Outcome Measures
NameTimeMethod
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