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临床试验/NCT03278210
NCT03278210已完成不适用

National Study on the Interest of EEG-fMRI in the Presurgical Evaluation of Partial Epilepsies Drug

University Hospital, Lille1 个研究点 分布在 1 个国家目标入组 102 人开始时间: 2011年4月13日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
102
试验地点
1
主要终点
Efficacity of surgery measured by the International League Against Epilepsy (ILAE) scale

研究概览

简要总结

The main goal of this study is to evaluate the additional value of EEG-fMRI method in the presurgical evaluation of focal intractable epilepsy.

To consider a patient for surgery, the main difficulty is to define accurately the epileptogenic zone. This definition is complex and is often supported by several types of exploration (MRI, FDG PET, neuropsychological testing, video-EEG...). In this study we will evaluate the adding value of the simultaneous recording of EEG and fMRI in the epileptogenic zone definition.

研究设计

研究类型
Observational
观察模型
Case Control
时间视角
Prospective

入排标准

年龄范围
8 Years 至 —(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • > 8 years old
  • intractable focal epilepsy
  • presurgical evaluation or "phase 1" planified
  • with focal EEG activity : more than 3 EEG interictal epileptic events per hour
  • patient and/or legal representant given their written consent for their participation in the study

排除标准

  • MRI contraindication
  • pregnancy
  • uncomfortable prolonged lying position
  • frequent primary or secondary generalised seizure with tonic clonic movements (>2 per week)
  • previous epilepsy surgery
  • important mental retardation

结局指标

主要结局

Efficacity of surgery measured by the International League Against Epilepsy (ILAE) scale

时间窗: 1 year after surgery

A score between 1-4 reflects an improvement in epilepsy and between 5-6 a lack of improvement.

次要结局

  • Percentage of inter-ictal and ictal discharges for localizing the epileptogenic zone by EEG(1 year after surgery)
  • Number of patients who finally underwent a surgery after EEG-fMRI results on SEEG implantation strategy after standard presurgical evaluation(concluded to a surgical management or an SEEG)(1 year after surgery)
  • Number of patients who finally underwent a surgery after EEG-fMRI results even if they were considered as non surgical after standard presurgical evaluation(1 year after surgery)
  • Quality of life score (QOLIE 31)(1 year after surgery)
  • Distinction of patients according to the type of their epilepsy: temporal / extra temporal.(1 year after surgery)

研究者

发起方
University Hospital, Lille
申办方类型
Other
责任方
Sponsor

研究点 (1)

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