Status:

UNKNOWN

Transcranial Direct Current Stimulation (tDCS) As A Tool For Prospective Responder Identification Before Vagus Nerve Stimulation (VNS) Implantation

Lead Sponsor:

University of Luebeck

Collaborating Sponsors:

Cyberonics, Inc.

University Hospital, Bonn

Conditions:

Epilepsy

Eligibility:

All Genders

12+ years

Phase:

NA

Brief Summary

The aim of the study is to establish tDCS as a prognostic tool to predict VNS therapy outcome among patients with pharmacoresistant epilepsy.

Detailed Description

In recent years it has been shown that many different brain stimulation techniques are effective in seizure reduction in epilepsy patients as well as in animal models of epilepsy. VNS is the method mo...

Eligibility Criteria

Inclusion

  • Age: 12 years and above
  • At least 2 years disease history
  • Refractory epilepsy:
  • Seizures are not completely responsive to longlasting antiepileptic treatment. At least 4 antiepileptic medicaments failed in mono or combined anticonvulsive regimen.
  • At least 4 seizures per week in the last month, despite adequate antiepileptic regimen.
  • Epilepsy surgery is not indicated or not accepted by the patient or by the parents of the patient.
  • A stable anticonvulsive regimen, defined as unchanged dose and type of the antiepileptic medication in the last month before tDCS and before VNS implantation.
  • Seizure diary is available and completed.
  • VNS implantation is planned within the next 2 months.

Exclusion

  • Acute, symptomatic seizures (caused by tumor, stroke, acute encephalitis)
  • Uncontrolled medical problems (e.g. cardiovascular, nephrotic oder severe, chronic or severe acute disease)
  • Increased intracranial pressure for whatever reason
  • Implantation of metallic material (e.g. pacemaker, cochlear-implant)
  • Diseased or damaged skin over the scalp (e.g. Dermatitis)
  • Pregnancy
  • Known or supposed non-compliance
  • Age: less than 12 years

Key Trial Info

Start Date :

September 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2010

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT00625222

Start Date

September 1 2007

End Date

June 1 2010

Last Update

January 28 2010

Active Locations (1)

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1

Pediatrics Department, University of Luebeck

Lübeck, Germany, 23538