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The GALAXY study: General Anesthesia versus Local Anesthesia in StereotaXY for Deep Brain Stimulation in Parkinson*s disease, a randomized controlled trial.

Completed
Conditions
Parkinson's disease
primary parkinsonism
shaking palsy
10028037
10009720
Registration Number
NL-OMON47557
Lead Sponsor
Academisch Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
110
Inclusion Criteria

- Age > 18 years;
- Idiopathic PD with bradykinesia and at least two of the following signs;
resting tremor, rigidity, and asymmetry;
- Despite optimal pharmacological treatment, at least one of the following
symptoms: severe response fluctuations, dyskinesias, painful dystonia or
bradykinesia;
- A life expectancy of at least two years.

Exclusion Criteria

- Legally incompetent adults
- Previous PD-neurosurgery (e.g., DBS, pallidotomy, thalamotomy);
- Contraindications for DBS surgery, such as a physical disorder making surgery
hazardous;
- Hoehn and Yahr stage 5 at the best moment during the day;
- Psychosis;
- Current depression;
- No written informed consent;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The primary outcome measures is the number of patients with significant<br /><br>postoperative cognitive, mood and behavioral adverse effects indicated by a<br /><br>stringent composite score of >1 within 6 months after STN DBS.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Secondary outcome measures are:<br /><br>- Motor score: MDS-UPDRS<br /><br>- Clinical Dyskinesia Rating Scale (CDRS)<br /><br>- Daily functioning: MDS-UPDRS (activities of daily living section), Functional<br /><br>health status (ALDS)<br /><br>- Quality of life: PDQ-39<br /><br>- Treatment satisfaction (See F-vragenlijsten, Treatment satisfaction)<br /><br>- Burden of therapy (See F-vragenlijsten, Burden of therapy)<br /><br>- Surgery time, duration of hospital admittance<br /><br>- PD- medication changes<br /><br>- Other adverse effects and complications than those registered in the<br /><br>composite score<br /><br>- Other psychiatric effects and complications than those registered in the<br /><br>composite score, measured with: Young Mania Rating Scale, Columbia Suicide<br /><br>Severity Rating Scale, Hamilton Depression Rating Scale, Hamilton Anxiety<br /><br>Rating Scale, Starkstein Apathy Rating Scale.</p><br>
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