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Epilepsy, Temporal Lobe clinical trials

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NCT ID: NCT05214833 Recruiting - Health, Subjective Clinical Trials

Self-modulation of the Sense of Agency by Means of Real-time Neurofeedback

NF-Agency
Start date: February 1, 2022
Phase: N/A
Study type: Interventional

This study investigates whether the sense of agency is sensitive to self-regulation by means of EEG-based neurofeedback. During neurofeedback, the brain activity in response to a motor task is recorded in real-time and displayed back to the participants. The participants can therefore use this information to adapt their performance on the motor task.

NCT ID: NCT05179083 Recruiting - Clinical trials for Temporal Lobe Epilepsy

Exercise for Brain Regeneration in Epilepsy

Start date: August 20, 2022
Phase: Phase 1
Study type: Interventional

Nearly 100 million Americans are affected by neurological disorders with an overall cost above $765 billion for the more prevalent conditions. Given this significant burden, effective treatments to prevent dementia and new disease modifying therapies are urgently needed. Regeneration of lost neurons with new ones (i.e., neurogenesis) is compromised at early stages of dementia and in part correlates with cognitive impairment in Alzheimer's disease. Boosting the neurogenesis delays the cognitive impairment in animal models of dementia and has been proven beneficial in improving the memory in rodent studies. Aerobic exercise is the most potent known stimulator of neurogenesis in animal models. A crucial next step is to translate endogenous regenerative strategies to people. The purpose of this study is to demonstrate the feasibility and investigate the effects of an exercise program on neurogenesis and cognitive improvement in epilepsy patients.

NCT ID: NCT05159609 Completed - Clinical trials for Temporal Lobe Epilepsy

Closed Loop Auditory Stimulus in Sleep and epilepsY

CLASSY
Start date: October 1, 2020
Phase: N/A
Study type: Interventional

This is a single-centre pilot study of a non-invasive auditory stimulation during sleep in participants with temporal lobe epilepsy.

NCT ID: NCT05135091 Recruiting - Clinical trials for Mesial Temporal Lobe Epilepsy With Hippocampal Sclerosis

FIH Study of NRTX-1001 Neural Cell Therapy in Drug-Resistant Unilateral Mesial Temporal Lobe Epilepsy

Start date: June 16, 2022
Phase: Phase 1/Phase 2
Study type: Interventional

This clinical trial is designed to test whether a single stereotactic intracerebral administration of inhibitory nerve cells into subjects with drug-resistant mesial temporal lobe epilepsy is safe (frequency of adverse events) and effective (seizure frequency).

NCT ID: NCT05019404 Recruiting - Clinical trials for Minimally Invasive Surgery

Minimally Invasive Surgical Epilepsy Trial for Temporal Lobe Epilepsy

MISET-TLE
Start date: April 25, 2023
Phase: N/A
Study type: Interventional

Temporal lobe epilepsy (TLE) is a chronically neurological disease characterized by progressive seizures. TLE is the most frequent subtype of refractory focal epilepsy in adults. Epilepsy surgery has proven to be very efficient in TLE and superior to medical therapy in two randomized controlled trials. According to the previous experience, the investigators use functional anterior temporal lobectomy (FATL) via minicraniotomy for TLE. To date, this minimally invasive open surgery has been not reported. The investigators here present a protocol of a prospective trail which for the first time evaluates the outcomes of this new surgical therapy for TLE.

NCT ID: NCT04952298 Recruiting - Clinical trials for Epilepsy, Temporal Lobe

EASINESS-TRIAL - Enhancing Safety in Epilepsy Surgery

Start date: January 1, 2015
Phase:
Study type: Observational

To conduct a retrospective multicenter cohort study to define surgical benchmark values for best achievable outcomes following surgery for mesial temporal lobe epilepsy. Established benchmark serve as reference values for the evaluation of future surgical strategies and approaches.

NCT ID: NCT04917939 Active, not recruiting - Epilepsy Clinical Trials

Gene Expression Changes of Brain Tissue in Human Temporal Lobe Epilepsy With Hippocampal Sclerosis

Start date: April 19, 2021
Phase:
Study type: Observational

Epilepsy is a common neurological disease, manifested in the sudden abnormal discharge of neurons leading to short-term brain dysfunction, has become the neurology after headache the second most common disease. In China, the prevalence of epilepsy is about 4.7-8.5 per 1,000, and more than 400,000 new cases of epilepsy are developed each year. Of these, 30% of patients were treated with ineffective medication, developing into a drug-incurable epilepsy that required surgery and other treatments. The most common type of epilepsy is temporal lobe epilepsy, while the common complication in temporal lobe epilepsy is hippocampal sclerosis, which often requires surgical removal. The incidence of inner temporal lobe epilepsy associated with hippocampal sclerosis is increasing, but its exact cause and specific pathogenesis are still unclear, so clarifying its pathogenesis will contribute to the understanding of temporal lobe epilepsy and the improvement of surgical procedures. This study is intended to get single-cell transcriptome as well as spatial transcriptome data of temporal lobe and hippocampus samples. By studying gene expression change associated with epilepsy and hippocampus sclerosis, we intended to find possible prognostic-related molecules and to deepen understanding of pathological changes in epilepsy at the molecular level.

NCT ID: NCT04897776 Active, not recruiting - Clinical trials for Epilepsy, Temporal Lobe

Stimulation of the Thalamus for Arousal Restoral in Temporal Lobe Epilepsy

START
Start date: October 31, 2021
Phase: N/A
Study type: Interventional

The goal is to provide a novel therapeutic option for temporal lobe epilepsy patients when focal impaired awareness seizures cannot be stopped by medications, surgical or laser ablation, or by neurostimulation. The goal is restore consciousness when seizures cannot be stopped. If successful, addition of bilateral thalamic stimulation to existing responsive neurostimulation to rescue consciousness would greatly alter clinical practice and patient outcomes. Importantly, previous approaches aim to stop seizures, whereas this study aims to use thalamic stimulation to improve a major negative consequence when seizures cannot be stopped. The potential impact extends beyond temporal lobe epilepsy to other seizure types, and may also extend more broadly to inform treatment of other brain disorders associated with impaired consciousness and cognition.

NCT ID: NCT04871555 Not yet recruiting - Clinical trials for Epilepsy, Temporal Lobe

Structural Cartography of the Insula in Temporal Epilepsy Patients

CON-INSULA
Start date: June 1, 2021
Phase:
Study type: Observational

The purpose of this study is to investigate insula structural connectivity in temporal epilepsy patients. Insula being at the interface of frontal, parietal, occipital and temporal lobes, its structural organization reflects the brain function. We hypothetize that insular structural organization will be different according to the different subtypes of temporal epilepsy.

NCT ID: NCT04717388 Recruiting - Tinnitus Clinical Trials

Pathophysiology, Psycho-emotional and Cognitive Functioning Associated With Tinnitus

AudiCog
Start date: June 15, 2021
Phase: N/A
Study type: Interventional

the investigators have recently shown that patients with drug-resistant temporal lobe epilepsy who have undergone brain surgery targeting the medial temporal lobe structures were more likely to develop tinnitus postoperatively. This discovery of a vulnerability to tinnitus associated with medial temporal lobe surgery to eliminate drug-refractory epileptic seizures provides a new clinical model of tinnitus, targeting temporal lobe regions as generators or mediators of this hearing disorder. The objective of this project is to study the impact of tinnitus on the cognitive, emotional, psychoacoustic and cerebral functioning associated with this hearing disorder, and to clarify the pathophysiology of tinnitus by comparing different groups of individuals with tinnitus (surgical epileptic patients or non-surgical ORL patients) to matched tinnitus-free groups (surgical tinnitus-free cases and healthy controls volunteer).