Advanced Magnetic Resonance Imaging in Temporal Lobe Epilepsy

NCT ID: NCT03643471

Last Updated: 2019-01-22

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

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-01-31

Study Completion Date

2019-12-30

Brief Summary

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We aim to o evaluate the role of conventional and advanced MRI sequences in diagnosis of idiopathic temporal lobe epilepsy including identification and lateralization of epileptogenic focus.

Detailed Description

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Patients with history of partial seizures with or without secondary generalization attending at outpatient clinic or admitted at Neurology department of Assuit University Hospital will be included in the study MRI study will be done for each patient. MR imaging will be performed on a 1.5-T MR imaging unit (Siemens, Sembra medical system,German).

Prospectively completed data forms will be analyzed and compared. Statistical tests appropriate to the nature of the data will be used.

All patients will not be subjected to risk of any kind during this study. All patients' data will be confidentially kept. Approval of the ethical committee of Faculty of Medicine, Assiut University.

An informed consent will be taken from all patients included in this study. The research will be conducted only by scientifically qualified and trained personnel.

The procedures included in this study have been already used in hospital and centers in and outside Egypt

Conditions

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Temporal Lobe Epilepsy

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Interventions

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MRI

Magnetic resonance imaging with advanced sequences including volumetry, spectroscopy and tractograpghy.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* patients with history of partial seizures with or without secondary generalization attending at outpatient clinic or admitted at Neurology department of Assuit University Hospital will be included in the study based on the following criteria:

* Clinical features consistent with seizures of temporal lobe origin.
* Focal ictal temporal lobe patterns recorded with EEG.
* No lesion detected by conventional MR imaging other than mesial temporal sclerosis.

Exclusion Criteria

* Any general contraindication of MRI in some cases as presence of para magnetic substance as pacemakers or in patients with claustrophobia.
* Subjects with age less than 12 year old.
* Patients with any structural lesion other than mesial temporal sclerosis identified on MR brain imaging.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Radwa Anas Abou El-Kasem

Assistant lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Assiut university hospital

Asyut, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Radwa Anas, Master

Role: CONTACT

+201028820029

Osama Haris, doctorate

Role: CONTACT

References

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Muhlhofer W, Tan YL, Mueller SG, Knowlton R. MRI-negative temporal lobe epilepsy-What do we know? Epilepsia. 2017 May;58(5):727-742. doi: 10.1111/epi.13699. Epub 2017 Mar 7.

Reference Type BACKGROUND
PMID: 28266710 (View on PubMed)

Crocker CE, Pohlmann-Eden B, Schmidt MH. Role of neuroimaging in first seizure diagnosis. Seizure. 2017 Jul;49:74-78. doi: 10.1016/j.seizure.2016.05.015. Epub 2016 Jun 1.

Reference Type BACKGROUND
PMID: 27324840 (View on PubMed)

Ruber T, David B, Elger CE. MRI in epilepsy: clinical standard and evolution. Curr Opin Neurol. 2018 Apr;31(2):223-231. doi: 10.1097/WCO.0000000000000539.

Reference Type BACKGROUND
PMID: 29389747 (View on PubMed)

Chinchure S, Kesavadas C, Thomas B. Structural and functional neuroimaging in intractable epilepsy. Neurol India. 2010 May-Jun;58(3):361-70. doi: 10.4103/0028-3886.65569.

Reference Type BACKGROUND
PMID: 20644262 (View on PubMed)

Other Identifiers

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MRI in temporal lobe epilepsy

Identifier Type: -

Identifier Source: org_study_id

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