Brain Injuries Clinical Trial
Official title:
Cognitive Assessment of Patients With Brain Injuries by the Mean of Event
The main objective of this study is to describe differential cognitive processing of various stimuli by a population of control subjects and a population of patients with selective cognitive deficits or altered states of consciousness by using dedicated ERP paradigms and high-density EEG picked up system.
In order to test the relevance of theoretical models of cognitive functions, examination of
patients with cerebral lesions is of great interest. Thus, the goal of this study is to
assess cognitive processing in patients by a combination of behavioural clinical tests and
ERP (event related potentials) specific markers. Indeed, ERP technique makes it possible to
ascertain that a patient or control subject has or has not performed the task we asked him
to even if the subject performs the task covertly. From these ERPs markers, we can
investigate their respective cortical generators. By comparing the results obtained in both
healthy and pathological populations, we will be able to appreciate differential processing
of the same stimuli by two different populations and try to correlate these differences with
specific cerebral lesions and with different outcomes.We previously demonstrated the
relevance of this approach in the field of disorders of consciousness patients and we
project to enrich this specific approach by the addition of new markers and by its extension
to other fields of cognitive and behavioural neurology.
The procedure will be the following. After obtaining written informed consent, patients will
be examined clinically with dedicated specialized scales (for example the CRS-R for
disorders of consciousness patients). Then, we will probe event related potentials by
stimulating these patients with various stimuli embedded in well-designed paradigms while
their scalp EEG will be recorded. Following different steps of signal processing the mean
ERPs according to conditions will be extracted and statistical analysis will be performed.
At one year from the recording, outcome will be collected and correlated with the obtained
ERPs.
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Allocation: Non-Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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