Possibilities of Use MRI-Guided Laser Interstitial Thermal Therapy in Medically Intractable Tremor
NCT06799923 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 15
Last updated 2025-01-29
Summary
Medically intractable tremors are a common difficult clinical situation. Deep brain stimulation decreases Parkinson's disease tremor and essential tremor, but not all patients are candidates from a diagnostic, medical, or social standpoint, prompting the need for alternative surgical strategies. Less invasive lesional brain surgery (thalamotomy) procedures by radio-surgery or MRI-guided focused ultrasound have emerged and have proven to be effective in these third-line indications. Recently, a new technology has emerged allowing the performance of minimally invasive lesion surgeries by MRI-Guided Laser Interstitial Thermal Therapy (MRIg-LITT). MRIg-LITT has been shown to be effective and safe in management of epilepsies and brain tumors. However, no study has evaluated MRIg-LITT for performing thalamotomy in medically intractable tremor.In a pilot study, the investigators propose to evaluate the effect and safety of unilateral thalamotomy by MRIg-LITT in the management of medically intractable tremor of parkinsonian or essential origin.
Conditions
- Laser Interstitial Thermal Therapy
- Parkinson Disease
- Essential Tremor
- Movement Disorders
- MRI
Interventions
- PROCEDURE
-
laser electrode
A laser electrode is implanted surgically in the ventral and inteermediary nucleus of the thalamus (VIM).
Sponsors & Collaborators
-
University Hospital, Rouen
collaborator OTHER -
University Hospital, Caen
collaborator OTHER -
Central Hospital Saint Quentin
collaborator OTHER_GOV -
Centre Hospitalier Universitaire, Amiens
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- OTHER
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-08-01
- Primary Completion
- 2025-09-30
- Completion
- 2026-04-30
Countries
- France
Study Locations
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