Atlas of Human Cognition by SEEG (MAPCOG-SEEG)

NCT ID: NCT03644732

Last Updated: 2024-03-19

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

RECRUITING

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-04-05

Study Completion Date

2030-09-30

Brief Summary

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The main objective of MAPCOG\_SEEG is to create a database including brain recordings of cognition performed in clinical routine in patients during the pre-surgical SEEG assessment. This aims to be able to propose the first atlas of human cognition with a high temporal and spatial resolution.

Detailed Description

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The pre-surgical assessment of a cortectomy in patient suffering from a refractory epilepsy includes several examinations aiming both, to specify the epileptogenic zone (EZ) which must be resected and to evaluate functional and cognitive risks of surgery.

Nevertheless, in some patients, non-invasive evaluation does not give formal answer. In these subjects, it is then necessary to carry out a second step, consisting of an invasive exploration by implantation of intracerebral electrodes during a Stereoelectroencephalography (SEEG).

Due to its temporal and spatial resolution, the SEEG allows, besides the precise determination of the EZ, to carry out a functional mapping of the cortical regions likely to be included in cortectomy. Conventionally, this mapping is carried out on the basis of the cortical electrical stimulations applied to the implanted electrodes. If this approach is very robust for exploring primary functions such as motor skills or language, it cannot be used to evaluate more complex cognitive tasks such as face recognition or attention. Essential cognitive tasks on a daily basis.

This has led to the development in recent years, in Grenoble, of a complementary approach to cerebral stimulation: Dynamic Spectral Imaging (ISD). Numerous experimental paradigms have demonstrated that the realization of a cognitive task associates with the generation within the cortical regions involved in its treatment of a particular cortical activity. This activity is characterized by oscillations of the cortical rhythm in high frequencies (\> 40 Hz), called gamma activities. The ISD thus consists in mapping this gamma activity during various cognitive tasks, thus making it possible to study more widely the complexity of the cognitive functions.

MAPCOG\_SEEG aims to collect the cerebral recording of the patients who have performed this cognitive exploration to be able to in fine propose an Atlas of human cognition which takes advantage of the very rich information in terms of spatial and temporal resolution of the SEEG. Furthermore, it will exactly allow more to understand the impact of the epilepsy and the surgery of the epilepsy on the cognition.

Conditions

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Refractory Epilepsy Focal Epilepsy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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SEEG Group

Group with SEEG analysis (Pre-surgical SEEG assessment)

SEEG Group

Intervention Type PROCEDURE

Visual and quantitative SEEG signal analysis. As available, collection of behavioral and neuropsychological postsurgical data

Interventions

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SEEG Group

Visual and quantitative SEEG signal analysis. As available, collection of behavioral and neuropsychological postsurgical data

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Drug-resistant focal epilepsy
* Justified SEEG exploration in the context of presurgical assessment of epilepsy
* Written non-opposition to study participation
* Intellectual capacities compatible with the compliance in the cognitive tasks

Exclusion Criteria

* Major Patient undergoing a legal protection measure or patient deprived of liberty as a result of a judicial or administrative decision
* Impossibility of collecting information on exposure (recent arrival in France, foreign language, etc.)
* Pregnant women (Contraindication to SEEG exploration)
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Grenoble

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Philippe Kahane, MD/PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Grenoble

Marcela Perrone-Bertolotti, PhD

Role: STUDY_CHAIR

Centre National de la Recherche Scientifique, France

Locations

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University Hospital, Grenoble

Grenoble, , France

Site Status RECRUITING

CHRU Nancy

Nancy, , France

Site Status RECRUITING

Hôpital Ste Anne

Paris, , France

Site Status RECRUITING

CHU Rennes

Rennes, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Philippe Kahane, MD/PhD

Role: CONTACT

+33 476 765 488

Marcela Perrone-Bertolotti, PhD

Role: CONTACT

+33 476 825 860

Facility Contacts

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Philippe Kahane, MD/PhD

Role: primary

+33 476 765 488

Marcela Perrone-Bertolotti, PhD

Role: backup

+33 476 825 860

Louis MAILLARD

Role: primary

Philippe DOMENECH

Role: primary

Estelle Pruvost-Robieux

Role: backup

Anca NICA

Role: primary

References

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Lachaux JP, Axmacher N, Mormann F, Halgren E, Crone NE. High-frequency neural activity and human cognition: past, present and possible future of intracranial EEG research. Prog Neurobiol. 2012 Sep;98(3):279-301. doi: 10.1016/j.pneurobio.2012.06.008. Epub 2012 Jun 26.

Reference Type BACKGROUND
PMID: 22750156 (View on PubMed)

Baciu M, Perrone-Bertolotti M. What do patients with epilepsy tell us about language dynamics? A review of fMRI studies. Rev Neurosci. 2015;26(3):323-41. doi: 10.1515/revneuro-2014-0074.

Reference Type RESULT
PMID: 25741734 (View on PubMed)

Combrisson E, Perrone-Bertolotti M, Soto JL, Alamian G, Kahane P, Lachaux JP, Guillot A, Jerbi K. From intentions to actions: Neural oscillations encode motor processes through phase, amplitude and phase-amplitude coupling. Neuroimage. 2017 Feb 15;147:473-487. doi: 10.1016/j.neuroimage.2016.11.042. Epub 2016 Nov 30.

Reference Type RESULT
PMID: 27915117 (View on PubMed)

Ossandon T, Vidal JR, Ciumas C, Jerbi K, Hamame CM, Dalal SS, Bertrand O, Minotti L, Kahane P, Lachaux JP. Efficient "pop-out" visual search elicits sustained broadband gamma activity in the dorsal attention network. J Neurosci. 2012 Mar 7;32(10):3414-21. doi: 10.1523/JNEUROSCI.6048-11.2012.

Reference Type RESULT
PMID: 22399764 (View on PubMed)

Perrone-Bertolotti M, Vidal JR, de Palma L, Hamame CM, Ossandon T, Kahane P, Minotti L, Bertrand O, Lachaux JP. Turning visual shapes into sounds: early stages of reading acquisition revealed in the ventral occipitotemporal cortex. Neuroimage. 2014 Apr 15;90:298-307. doi: 10.1016/j.neuroimage.2013.12.027. Epub 2013 Dec 24.

Reference Type RESULT
PMID: 24370818 (View on PubMed)

Perrone-Bertolotti M, Kujala J, Vidal JR, Hamame CM, Ossandon T, Bertrand O, Minotti L, Kahane P, Jerbi K, Lachaux JP. How silent is silent reading? Intracerebral evidence for top-down activation of temporal voice areas during reading. J Neurosci. 2012 Dec 5;32(49):17554-62. doi: 10.1523/JNEUROSCI.2982-12.2012.

Reference Type RESULT
PMID: 23223279 (View on PubMed)

Other Identifiers

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2017-A03248-45

Identifier Type: OTHER

Identifier Source: secondary_id

38RC17.357

Identifier Type: -

Identifier Source: org_study_id

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