Multimodal Imaging in Pre-surgical Evaluation of Epilepsy

NCT ID: NCT01735032

Last Updated: 2012-11-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

140 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-10-31

Study Completion Date

2016-05-31

Brief Summary

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Epilepsy is the most common chronic neurological disorder in the world, affecting more than 50 million people worldwide. Approximately 35% of patients with epilepsy are refractory to all available antiepileptic drugs. Drug-resistant epilepsies are often partial or focal. Patients with drug-resistant focal epilepsy suffer from an increased risk of death, primarily due to seizure-related fatalities, in comparison with the general population. The only therapeutic option for this form of epilepsy is the surgical removal of the region of the brain responsible for seizures, called the epileptogenic zone (EZ). This requires the precise localization of the EZ based on a comprehensive pre-surgical evaluation of patients.

Today the gold standard for localizing the EZ and validating a non-invasive technique for localization of the EZ remains intracerebral stereo-EEG (stereo-electroencephalography or SEEG) recordings of spontaneous seizures. The implementation strategy of the intracerebral depth electrodes is guided by clinical and neuroimaging data, including anatomical Magnetic Resonance Imaging (MRI), Positron Emission Tomography (PET) with FDG (fluoro-Deoxy-Glucose) and MagnetoEncephaloGraphy (MEG). Although the contribution of each technique in the pre-surgical localization of the EZ has already been shown, no wide-scale study has examined the cumulative contribution of these three techniques.

Detailed Description

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The purpose of this study is (i) to evaluate rigorously the diagnostic value of multimodal imaging for non-invasive localization of the EZ and (ii) to better target the indications for intracerebral recordings (SEEG).

Conditions

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Partial Epilepsy

Keywords

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focal epilepsy pre-surgical evaluation multimodal imaging SEEG

Eligibility Criteria

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Inclusion Criteria

* Patient with drug-resistant focal epilepsy
* Candidates for pre-surgical evaluation including FDG PET, MRI, MEG and SEEG recordings.
* Age 18-65 years
* EEG-confirmed focal epilepsy for \>2 years
* Signed informed consent form.

Exclusion Criteria

* Age \<18 years and \>65 years
* Contraindication to the MRI
* Pregnant woman
* Head size incompatible with MEG recordings
* Adult subject to legal protection measure.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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François MAUGUIERE

Role: PRINCIPAL_INVESTIGATOR

Hospices Civils de Lyon

Locations

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Hospices Civils de Lyon

Lyon, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Julien Jung, Dr.

Role: CONTACT

Phone: 0033 472 117 833

Email: [email protected]

Facility Contacts

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Julien JUNG, Dr

Role: primary

Other Identifiers

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2011-703

Identifier Type: -

Identifier Source: org_study_id