Optimization of Parameters of Subthalamic Nucleus Stimulation
NCT03496532 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2021-08-13
Summary
Deep brain stimulation of the subthalamic nucleus is an effective treatment for Parkinson's disease. The analysis of cerebral signals of the subthalamic nucleus by local field potentials, provides one of the main electrophysiological markers of the success of the stimulation. This marker can be used to evaluate new paradigms of stimulation. So far, little studied, the temporal characteristics of the stimulation are very important in the effectiveness of the stimulation of the subthalamic nucleus, in Parkinson's disease. The first objective (Study I) is to compare the effectiveness of the stimulation when it is applied with biphasic symmetrical pulses and when applied with the standard pulses applied so far.
The second objective (Study II) is to see if, by applying pseudo-random time intervals between each stimulation pulse, if it would be possible to improve the efficiency and to limit the side effects of the stimulation.
The third objective (Study III) is to evaluate the electrophysiological changes of the subthalamic nucleus caused by the general anesthesia, in the anticipation of the realization of the surgery of the stimulation of the subthalamic nucleus under general anesthesia.
Conditions
- Parkinson Disease
Interventions
- DEVICE
-
biphasic stimulation
Fixed 70Hz symmetrical biphasic pulses
- DEVICE
-
standard stimulation
Fixed 70Hz pseudo-monophasic pulses
- DEVICE
-
Uniform distribution
Uniform distribution 70Hz Biphasic pulses
- DEVICE
-
Poisson distribution
Poisson distribution 70Hz Biphasic pulses
- DEVICE
-
Recordings of LFP oscillations
Two minutes of recordings of LFP oscillations will be performed from the contacts of the implanted electrode. Recordings of the depth of anaesthesia (BIS) all along the measurements performed under general anaesthesia.The correlation between the depth of anaesthesia and the cerebral oscillations recorded at the site of subthalamic nucleus will be studied.
Sponsors & Collaborators
-
Colette Boex
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-10-10
- Primary Completion
- 2021-05-03
- Completion
- 2021-05-03
Countries
- Switzerland
Study Locations
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