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Mutual Interactions Between Absence Epilepsy Seizures and the Integration of Sensory Stimuli (Absence SLI)

F

Fondation Ophtalmologique Adolphe de Rothschild

Status

Terminated

Conditions

Childhood or Juvenile Absence Epilepsy

Treatments

Procedure: Timed repetitive sensory stimulation

Study type

Interventional

Funder types

NETWORK

Identifiers

NCT03676543
MCX_2017_28

Details and patient eligibility

About

Epileptic seizures arise from neuronal defects that often alter the capacity of the brain to process sensory information. During absence seizures, a frequent epileptic syndrome in children, the normal conscious and perceptual processes are temporarily interrupted. This is the result of abnormal synchronized neural activities in the thalamo-cortical loops, leading to bilateral spike-and-wave discharges (SWDs) in the cortical electroencephalograms (EEGs). The brain mechanisms underlying the lack of sensory experience during absence seizures are disputed. Based on preliminary data, the investigators hypothesize that the alternation of 'spike' and 'wave' patterns during seizure could cause a time-to-time inconstancy in cortical responsiveness, preventing conscious perception. Using a real-time closed-loop stimulation system, the investigators will research how the S- and W-patterns specifically alter the sensory-evoked responses in the EEG. During a standard EEG, visual stimulations will be applied between and during absence seizures to test the hypothesis that repeated sensory stimuli, applied with an appropriate timing relative to the seizure-related oscillatory cycle, could negatively interfere with the regenerative network mechanisms involved in the occurrence of SWDs. The completion of this project should permit to unveil a new neuronal mechanism supporting the lack of conscious experience during absences and pave the way for new clinical non-invasive strategies to interrupt ongoing seizure activity.

Enrollment

1 patient

Sex

All

Ages

2 to 21 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria :

  • Age 2-20 years
  • childhood or juvenile absence epilepsy defined by International Ligue Against Epilepsy (ILAE)
  • Electroencephalogram (EEG) indicated for clinical follow-up

Non inclusion criteria:

  • Visual deficit
  • Abnormal Magnetic Resonance Imaging (MRI)
  • Medical history of photosensitive epileptic seizures

Trial design

Primary purpose

Treatment

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

1 participants in 1 patient group

Timed repetitive sensory stimulation
Experimental group
Description:
Timed repetitive sensory stimulation (TRSS) will be applied at the onset or during seizures
Treatment:
Procedure: Timed repetitive sensory stimulation

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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