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临床试验/NCT01284686
NCT01284686已完成不适用

Pathophysiology of Neuronal Oscillations Within Subthalamo-cortical Loops in Parkinson's Disease

Assistance Publique Hopitaux De Marseille2 个研究点 分布在 1 个国家目标入组 23 人开始时间: 2012年3月26日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
23
试验地点
2
主要终点
the understanding of the mechanisms underlying the propagation of pathological oscillatory activities in PD

研究概览

简要总结

Neuronal activity in circuits between the basal ganglia (BG) and motor cortical areas is abnormally synchronised and rhythmic. The oscillatory activity prevails at 8-30 Hz in untreated Parkinson's Disease (PD) and its amplitude at both subthalamic and cortical levels inversely correlates with motor impairment. Moreover, these different levels in BG-cortical loops are coherent in this frequency band. The 8-30 Hz activity is suppressed by treatment following treatment with dopaminergic drugs and is partially suppressed prior to and during voluntary movements. An unanswered question is how do BG-cortical loops become so prominently engaged in this oscillatory activity? One possible explanation is that the resonance frequencies of the loops fall in the 8-30 Hz band in the untreated state, so that oscillations in this band are transmitted particularly well. This hypothesis was confirmed in a previous series of experiments.The aim is to determine whether the resonance frequency within BG-cortical loops is correlated to the BG-cortical coherence frequency (with 20 subjets during 24 months).

详细描述

Methods: Record STN-cortex LFP coherence pattern and then stimulate STN (at 0, 5, 10, 15, 20, 25, 30 Hz) in newly implanted patients at rest and during simple and complex motor tasks while recording the steady state evoked potential over the cortex using EEG. The resonance frequency will be calculated as previously (Eusebio et al, Brain 2009). Experiments will be carried out both in the OFF medication and ON medication condition.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Other
盲法
None

入排标准

性别
All
接受健康志愿者

入选标准

  • Parkinson's disease idiopathique evolving for more than 5 years
  • Dopa-Sensibility superior to 50 %
  • Electrodes of stimulation implanted in 2 NST at Timone (Pr PERAGUT)

排除标准

  • Bad tolerance of the condition OFF Dopa and\or OFF stimulation

研究组 & 干预措施

dopamine

Active Comparator

ON DOPA:The patient will take his usual treatment with dopamine

干预措施: subthalamo-cortical loops stimulation in a one-sided and bipolar way (Other)

without dopa

Experimental

OFF Dopa: The patient will be deprived of his treatment usual dopaminergique for at least 12 hours

干预措施: subthalamo-cortical loops stimulation in a one-sided and bipolar way (Other)

结局指标

主要结局

the understanding of the mechanisms underlying the propagation of pathological oscillatory activities in PD

时间窗: 24 months

次要结局

  • may provide a basis for different therapeutic strategies(24 months)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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