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Cerebellar stimulation to treat refractory epilepsy in childre

Recruiting
Conditions
Refractory epilepsy
Registration Number
NL-OMON22556
Lead Sponsor
Erasmus MC
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
9
Inclusion Criteria

•Refractory epilepsy for at least one year, with a seizure frequency of at least four per month.
•Failure of at least three adequately tried AED regimens, as determined by the principal investigator, including ketogenic diet if appropriate.
•Age 4 – 18 years at time of inclusion. The first 3 patients are at least 7 years old.
•Definite diagnosis of epilepsy syndrome as reported by treating clinician according to international standards and confirmed by recruitment team.
•Written informed consent of parents/caretakers.

Exclusion Criteria

•Other progressive neurologic or medical diseases.
•Evident co-existing non-epileptic seizures.
•Candidate for resective epilepsy surgery.
•Inability to complete neuropsychological tests or complete seizure diaries by caretakers.
•Vagal nerve stimulators in situ.
•Surgical contraindications such as coagulation disorders.
•Contraindications for MRI.
•Anatomical abnormalities of skull and posterior fossa, precluding safe lead placement and fixation.
•Immune deficiency.
•Insufficient space or subcutaneous fat to safely implant stimulator.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To determine the efficacy of cerebellar stimulation in children with refractory epilepsy by measuring number and severity of seizures.
Secondary Outcome Measures
NameTimeMethod
To determine safety and long term effects of (intermittent-) continuous cerebellar stimulation by monitoring number of adverse events, cognitive development, and effects on daily life and behavior.
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