Single Neurons Responses During Visual Recognition in Epileptic Patients

NCT ID: NCT02877576

Last Updated: 2021-04-28

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

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-31

Study Completion Date

2023-05-31

Brief Summary

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The purpose is to evaluate specific capacities of face detection of individual neurons by comparison with their capacity of object detection in medial temporal lobe and ventral temporal cortex in epileptic patients.

Secondary purpose is to evaluate specific capacities of detection of known faces of individual neurons by comparison with their capacity of detection of unknown faces in medial temporal lobe and ventral temporal cortex in epileptic patients.

Detailed Description

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In this interventional study, patients explored with mixed intracerebral electrodes (micro and macro-contacts) will be presented sets of images (objects, unknown faces, famous faces). Spikes and Multi-Unit-Activity will be recorded and analyzed and compared between conditions.

Conditions

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Epilepsy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Epileptic patient

micro-electrode recordings interventions: Implantation of mixed intracerebral electrodes Face detection Face individualization

Group Type EXPERIMENTAL

Implantation of mixed intracerebral electrodes

Intervention Type PROCEDURE

5 macro electrodes with micro electrodes are implanted in internal temporal structures (amygdala, anterior and posterior hippocampus, rhinal cortex, posterior para-hippocampal gyrus).

Each electrode has 8 microcontacts, each recording the activity of 0 to 3 neurons (activity of 0 to 120 neurons/patient).

Face detection

Intervention Type BEHAVIORAL

Visualization of images of 60 unknown faces and 60 objects that are not faces (object, house, scene, animal, plant, word, letter…). Each image is showed for 500 ms and separated from following image by black screen of 1500 ms. In order to keep patient attention on image, patient will be asked to push a button at color change of fixation cross in the centre of image.

Face individualization

Intervention Type BEHAVIORAL

Visualization of images of celebrities (persons known by patient), showed randomly. Each image is showed for 500 ms and separated from following image by black screen of 1500 ms. In order to keep patient attention on image, patient will be asked to push a button at color change of fixation cross in the centre of image.

Several celebrities are showed, with for each the presentation of 60 images different from that celebrity. 1 to 3 celebrities are showed (60 to 180 total images).

Interventions

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Implantation of mixed intracerebral electrodes

5 macro electrodes with micro electrodes are implanted in internal temporal structures (amygdala, anterior and posterior hippocampus, rhinal cortex, posterior para-hippocampal gyrus).

Each electrode has 8 microcontacts, each recording the activity of 0 to 3 neurons (activity of 0 to 120 neurons/patient).

Intervention Type PROCEDURE

Face detection

Visualization of images of 60 unknown faces and 60 objects that are not faces (object, house, scene, animal, plant, word, letter…). Each image is showed for 500 ms and separated from following image by black screen of 1500 ms. In order to keep patient attention on image, patient will be asked to push a button at color change of fixation cross in the centre of image.

Intervention Type BEHAVIORAL

Face individualization

Visualization of images of celebrities (persons known by patient), showed randomly. Each image is showed for 500 ms and separated from following image by black screen of 1500 ms. In order to keep patient attention on image, patient will be asked to push a button at color change of fixation cross in the centre of image.

Several celebrities are showed, with for each the presentation of 60 images different from that celebrity. 1 to 3 celebrities are showed (60 to 180 total images).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patient with temporal or occipito-temporal drug-resistant partial epilepsy, symptomatic, needing surgical treatment
* Patient having signed informed consent
* Patient affiliated to social security
* Patient having undergone preliminary medical examination

Exclusion Criteria

* Persons under legal protection or incapable to consent
* Persons deprived of liberty by juridical or administrative decision
* Patient with severe visual disorders of neurological or ophthalmological origin
* Patients with infection risk according to doctor or surgeon
* Women without effective contraception
* Pregnant or breast-feeding women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Central Hospital, Nancy, France

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Louis MAILLARD, Pr

Role: PRINCIPAL_INVESTIGATOR

Service de Neurologie CHRU de Nancy - Hôpital Central

Locations

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Service de Neurologie, Hôpital Central, CHRU de Nancy

Nancy, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Louis MAILLARD, Pr

Role: CONTACT

References

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Le Cam S, Jurczynski P, Jonas J, Koessler L, Colnat-Coulbois S, Ranta R. A Bayesian approach for simultaneous spike/LFP separation and spike sorting. J Neural Eng. 2023 Mar 31;20(2). doi: 10.1088/1741-2552/acc210.

Reference Type DERIVED
PMID: 36881899 (View on PubMed)

Other Identifiers

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2015-A01951-48

Identifier Type: -

Identifier Source: org_study_id

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