Application of Thoracic Epidural SCS for Managing FOG in Patients With Advanced Parkinson's Disease

National Taiwan University

Status

Enrolling

Conditions

Freezing of Gait

Parkinson Disease

Spinal Cord Stimulation

Treatments

Device: SCS electrode stimulation 1

Device: SCS electrode stimulation 3

Device: SCS electrode stimulation 2

Study type

Interventional

Funder types

Other

Identifiers

NCT06630702

202307093DINC

Details and patient eligibility

About

Spinal cord stimulation (SCS) has proven to be effective for pain that is unresponsive to medication. This technique involves an anesthesiologist or a neurosurgeon placing stimulation electrodes at the thoracic vertebrae to provide pain relief. Although SCS is not currently a standard treatment for patients with Parkinson's disease, recent studies have shown that Parkinson's patients who experience intolerable pain and undergo SCS treatment not only experience pain relief but also show improvements in gait and other Parkinson's symptoms. Therefore, the investigators aim to use temporary, minimally invasive SCS electrodes to help patients with nrFOG (non-responsive Freezing of Gait) improve their stability and reduce their risk of falls.

Enrollment

5 estimated patients

Sex

All

Ages

40 to 85 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age:40-85 years old.
Patients with primary Parkinson&amp;#39;s disease who have been diagnosed by a movement disorder specialist for more than 5 years. Although they have a clear response to drugs, they have a frozen gait that cannot be controlled by drugs. Lower limb pain may be present with or without Parkinson's non-motor symptoms.
No other secondary gait problems.

Exclusion criteria

Atypical Parkinson's disease.
Patients with spinal cord injuries.
Medication-controlled frozen gait.
It is expected that there are lesions near the implantation area causing spinal canal stenosis or myelopathy (can be ruled out by MRI).
It is expected that the implantation area has undergone previous surgery or there is infection near the implantation area, which may affect the success rate of implantation or increase concerns about complications (such as severe extraspinal adhesion, or spinal cord damage in previous surgeries).
People with abnormal coagulation function (such as hemophilia patients) or those who have been controlled by long-term use of antithrombotic drugs and cannot stop taking them in a short period of time.
CDR (Clinical Dementia Rating Scale) ≧2. 8. Those who are allergic to developer.