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Interphase Gap in Biphasic Stimulation in DBS for ET

Not Applicable
Completed
Conditions
Essential Tremor
Interventions
Device: Study Tool Computer
Registration Number
NCT05177900
Lead Sponsor
Myles Mc Laughlin
Brief Summary

Deep Brain Stimulation (DBS) is a well established therapy in medication-refractory essential tremor (ET). Since the inception of DBS, cathodic pulses are used. Recent work suggests that biphasic pulses influence the therapeutic window when compared to cathodic pulses, when tested acutely. Animal studies and work from cochlear implants, show that the use of an interphase gap, influences the generation of action potentials. In this study, the goal is to investigate the use of an interphase gap in biphasic pulses in DBS for ET patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
9
Inclusion Criteria
  • Patients with essential tremor treated with Vim-DBS
  • Normal impedances of DBS circuit
  • Signed written informed consent
Exclusion Criteria
  • Active psychiatric disease or active alcohol or drug abuse
  • Dementia
  • History of recurrent or unprovoked seizures
  • Relevant comorbidities that influence objective clinical assessment
  • Pregnancy

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Biphasic pulse with interphase gapStudy Tool Computer-
Biphasic pulse without interphase gapStudy Tool Computer-
Primary Outcome Measures
NameTimeMethod
Therapeutic threshold (mA)During uptitration of the amplitude (entire process takes 3-4 minutes)

Amplitude needed to elicit tremor arrest, expressed in milliamperes (mA)

Side effect threshold (mA)During uptitration of the amplitude (entire process takes 3-4 minutes)

Amplitude needed to elicit non-transient side effects, expressed in milliamperes (mA)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

UZ Leuven

🇧🇪

Leuven, Belgium

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