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Seizures clinical trials

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NCT ID: NCT06143241 Recruiting - Epilepsy Clinical Trials

Cognitive Function and Glymphatic System in Children With Epilepsy

Start date: March 1, 2024
Phase: N/A
Study type: Interventional

Epilepsy, one of the most common neurological disorders in childhood, is a chronic brain disease characterized by neurobiological, psychological and cognitive effects. Neuropeptide-Y (NPY) and neural growth factor (NGF) play a role in different pathological processes seen in epileptogenesis. Neuron-specific enolase (NSE), a quantitative indicator of brain damage, has been shown to exhibit elevated serum levels in individuals with epilepsy and is associated with cognitive functions. It is reported that the glymphatic system, which is associated with epileptic seizures, is a treatment method that can prevent cognitive impairment by preventing the accumulation of toxic waste proteins. Inspiratory muscle training, one of the respiratory physiotherapy techniques, is used as supportive treatment in patients with weak respiratory muscle strength. Weakness in respiratory muscle strength has also been detected in the epilepsy group in which the glymphatic system is affected. 40 children with epilepsy who meet the inclusion criteria and volunteer to participate in the study will participate. Children with epilepsy will be divided into two groups: experimental group (n = 20) and control group (n = 20) using the block randomization method. The experimental group will be given Inspiratory Muscle Training (IMT) with the Threshold device for 30 minutes every day for 8 weeks after routine medication use. The control group will be followed only with routine medication use. Demographic information of all participants will be recorded. Respiratory function will be evaluated with a portable spirometer device, respiratory muscle strength will be evaluated with a portable electronic mouth pressure measurement device, and cognitive performance will be evaluated with the Serial Digit Learning Test (SDLT). Biochemical analyses; Serum levels of neuron specific enolase (NSE), neuropeptide-Y (NPY) and neural growth factor (NGF) will be determined with an ELISA kit set. The glymphatic system will be evaluated with Diffusion Tensor Imaging Analysis Across the Perivascular Space (DTI-ALPS). In both groups, the initial evaluations will be repeated after 8 weeks. This research project was planned to prevent the development of seizures and improve biochemical parameters, glymphatic system dysfunction and cognitive functions with inspiratory muscle training in pediatric epilepsy patients.

NCT ID: NCT06138847 Active, not recruiting - Clinical trials for Epilepsy; Syndrome, Seizures of Localized Onset

Does Levetiracetam and Carbamazepine Impact the Autonomic Activity of Children With Self-limiting Focal Epilepsy?

levcbz
Start date: January 1, 2023
Phase:
Study type: Observational

The goal of this cross-sectional study is to learn about autonomic cardiac profile changes in children with self-limiting focal epilepsy using levetiracetam and carbamazepine in children with self-limiting focal epilepsy syndrome. The main questions is it aims to answer are: 1. Are heart rate variability and autonomic tone different among healthy controls and children with epilepsy? 2. Does Levetiracetam and carbamazepine affect autonomic tone differently among children with self-limiting focal epilepsy?

NCT ID: NCT06136858 Enrolling by invitation - Airway Disease Clinical Trials

Cuirass Fitting Study - Time for Mounting and Ventilation

Cuirass
Start date: November 30, 2023
Phase:
Study type: Observational

Non-invasive biphasic cuirass ventilation (BCV) has recently been described for ENT surgery (ref 1-2). The clinical experience is however still sparse and further study is required. The purpose of the study is to descibe 1) mounting time and fitting of the cuirass shell on voluntary participants and 2) time to visible ventilation

NCT ID: NCT06129760 Recruiting - Glioblastoma Clinical Trials

Glioblastoma Remote Monitoring and Care - Research Protocol

Start date: April 30, 2024
Phase: N/A
Study type: Interventional

The purpose of this research is to learn more about how what the Apple watch measures, in terms of walking data, heart rate, breathing rate, and sleep habits, relates to how participants feel. During the course of the treatment, the symptoms participants experience change, and whether the Apple watch can detect these changes. Ultimately, this knowledge is being used to design proactive tools and signatures that can predict complications or symptom changes before they happen.

NCT ID: NCT06120101 Recruiting - Epilepsy Clinical Trials

Reflexology on Seizure Frequency, Fatigue, Stress and Sleep Quality in Epilepsy Patients

Start date: August 15, 2023
Phase: N/A
Study type: Interventional

Epilepsy is among the diseases that cause loss of neurological abilities regardless of any trauma. Reflexology is one of the complementary therapies based on activating the body's self-healing power through special hand techniques applied to the feet. It is known that there are positive changes in seizure frequency, fatigue, stress and sleep quality in epilepsy patients after reflexology. This study will be conducted to determine the effect of reflexology on seizure frequency, fatigue, stress and sleep quality in epilepsy patients.

NCT ID: NCT06108778 Not yet recruiting - Clinical trials for Neonatal Convulsions

Incidence of Metabolic Disorders in Neonatal Convulsions

Start date: November 25, 2023
Phase:
Study type: Observational

Describe the incidence of metabolic disorders in neonatal convulsions affecting neonates at NICU Describe types of metabolic disorders causing neonatal convulsions

NCT ID: NCT06108102 Enrolling by invitation - Stroke Clinical Trials

International Post-Stroke Epilepsy Research Repository

IPSERR
Start date: March 2024
Phase:
Study type: Observational [Patient Registry]

The International Post-Stroke Epilepsy Research Repository (IPSERR): The study aims to collate and categorize data reported by post-stroke epilepsy (PSE) researchers and lodge it within the IPSERR. Using the IPSERR database, we will conduct two individual patient data (IPD) analyses: (1) determine epilepsy, functional, and cognitive outcomes in stroke patients who develop post-stroke seizure and (2) build and validate post-stroke epilepsy prediction model and compare performance against existing models.

NCT ID: NCT06106425 Not yet recruiting - EEC Clinical Trials

Diagnostic and Prognostic Criteria of EEG in Neonatal Convulsions at Assiut University Children Hospital

Start date: October 2023
Phase:
Study type: Observational

Diagnostic and prognostic criteria of EEG in neonatal convulsions at Assiut University Children Hospital

NCT ID: NCT06105996 Recruiting - Clinical trials for Functional Neurological Disorder

ADIE-FS - Aligning Dimensions of Interoceptive Experience in Patients With Functional Seizures

ADIE-FS
Start date: January 10, 2024
Phase: N/A
Study type: Interventional

Functional seizures are common and harmful. They look like epileptic seizures but are not caused by the excess electrical discharges in the brain that arise in epilepsy. Our understanding of the mechanisms that give rise to functional seizures is limited, and for this reason the development of novel treatments for functional seizures is also limited. Recent research by our and other groups has shown that interoception may play an important role in the development of functional seizures. Interoception refers to the process by which the nervous system senses, interprets and integrates information from inside the body. Research has shown that altered interoception is linked to functional seizures. We have shown that patients with functional seizures have a reduced ability to accurately identify signals from within their bodies, such as their heartbeats. The worse their ability, the greater their seizure severity and higher their levels of other unwanted symptoms. In separate research other groups have shown that interoceptive training, that is actively training an individual to better recognise signals from their body, can reduce levels of anxiety and the levels of unwanted symptoms. In this study we therefore plan to explore the feasibility of interoceptive training in patients with functional seizures.

NCT ID: NCT06093490 Recruiting - Seizures Clinical Trials

Detecting Absence Seizures Using Hyperventilation and Eye Movement Recordings

DASHER
Start date: December 1, 2023
Phase:
Study type: Observational

This study is being done to find out if a smartphone app can identify absence seizures. Children who have a history of absence seizures, as well as children without any seizure history, will be testing out the app. If participating the child will be guided through hyperventilation, an activity that asks the child to take quick, deep breaths. The app will record video of the child's face and sounds they make during hyperventilation. Hyperventilation is a safe and established technique frequently used during EEG (electroencephalogram) to encourage seizure occurrence. The App will be used during a regularly scheduled EEG.