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โ† Trials
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Intracranial CArtography of Cortical Contribution to Respiratory Load Compensation in Epilepsy

RecruitingNAAges 18 Years - 55 YearsAllHospices Civils de Lyon
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In plain words

What the trial is, and whether it could suit you

30% of patients with epilepsy suffer from drug-resistant seizures and have a greater risk of premature mortality than the general population. Among all causes of death, the most frequent is SUDEP, for sudden and unexpected death in epilepsy patients. SUDEP typically occurs after a nocturnal seizure, and primarily results from a postictal central respiratory dysfunction in patients with generalized convulsive seizure (GCS), suggesting the critical role of seizure-related impairment of breathing control, and underscoring the importance of monitoring and preventive interventions during the post-ictal phase. Most of patients with drug-resistant seizures demonstrate transient peri-ictal apnea and hypoxemia especially in the aftermath of a GCS. Experimental and clinical data suggest that most SUDEP primarily result from a fatal seizure-related respiratory arrest 5. Apnea was the primary cause

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: 1. Written informed consent obtained from study subject and ability for study subject to comply with the requirements of the study 2. Aged 18 to 55 years old 3. Diagnosis of drug-resistant focal epilepsy, as defined by the International League Against Epilepsy 20 4. Patients undergoing SEEG as part of presurgical evaluation 5. At least one SEEG electrode localized in the perisylvian cortex 6. At least one SEEG electrode localized in the premotor cortex Exclusion Criteria: 1\. Ongoing or chronic respiratory and/or cardiac insufficiency and/or ischemic cardiac disease 2. History of stroke in the last 5 years 3. Intracranial hypertension related to space-occupying lesion in the brain 4. Pregnant, parturient, or breastfeeding women 5. Individuals receiving psychiatric care 6. Individuals deprived of their liberty by judicial or administrative decision 7. Adults subject to legal protection measures (guardianship, curatorship) 8. Individuals not affiliated with a social security scheme or beneficiaries of a similar scheme \-
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What it tests

  • SEEG monitoring
  • Comprehensive respiratory monitoring
  • Cardio-respiratory monitoring
  • Expiratory load compensation
  • Hypercapnic challenge
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Where

1 site
Service de Neurologie Fonctionne et d'Epileptologie Hรดpital Neurologique Pierre WERTHEIMER
Bron, France
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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