Orientation Agnosia: Clinical and Anatomical Study (AGNORIENT)
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Purpose
The area of the brain responsible of visuospatial processing data and more specifically the orientation of an object or image is located in parietal lobe, especially on the right side. A dysfunction of this region would result in a disorder of recognition of the orientation of objects and images that the investigators call orientation agnosia. Several isolated cases are reported in the literature but to the investigators knowledge deficit has never been systematically searched, or put into perspective compared to other neuropsychological deficits. Moreover, the precise location of the lesion responsible for such a disorder remains uncertain. The objectives of this study are (1) detect the existence of orientation agnosia in case of right parietal lesion, and (2) to improve the understanding of such a deficit allowing better management of this disorder.
| Condition | Intervention |
|---|---|
|
Cerebrovascular Disorders Brain Lesions |
Behavioral: Neuropsychological testing Other: MRI |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Screening |
| Official Title: | Orientation Agnosia: Neuropsychological Evaluation, Associated Symptoms, Clinical and Anatomical Correlations |
- orientation agnosia evaluation [ Time Frame: 1 week to 6 months (average) ] [ Designated as safety issue: No ]orientation agnosia test
- associated clinical symptoms especially apraxia [ Time Frame: 1 week to 6 months (average) ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 30 |
| Study Start Date: | September 2010 |
| Estimated Study Completion Date: | September 2014 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: patient with right parietal lesions |
Behavioral: Neuropsychological testing
Experimental test about orientation agnosia and standard neuropsychological tests.
Other: MRI
Cerebral MRI
|
| Active Comparator: patient with left parietal lesions |
Behavioral: Neuropsychological testing
Experimental test about orientation agnosia and standard neuropsychological tests.
Other: MRI
Cerebral MRI
|
Detailed Description:
Idem
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- age between 18 and 80 years
- french language
- right parietal lesion on cerebral imaging (CT-scan is sufficient), including stroke,arterial malformation, isolated tumoral lesion
- informed consent
Exclusion Criteria:
- previous neurological history except non complicated migraine and stabilized epilepsia without seizure since 5 years
- previous psychiatric history except depression without hospitalization > one week or anxiety with maximum one anxiolytic treatment
- drug or alcohol abuse
- severe cranial traumatism
- other severe chronic pathology
- psychotropic medication other than a hypnotic or an anxiolytic at low doses without dose modification for at least one month
- visual impairment
- motor or sensory deficit sufficient to render impossible neuropsychological tests
- patient without judicial or administrative liberty
- measure of legal protection or no capable to express their consent
- pregnancy or breastfeeding
Contacts and Locations| Contact: Olivier MARTINAUD, Doctor | 0232888740 ext +33 | olivier.martinaud@chu-rouen.fr |
| France | |
| CHU de Rouen - Hôpitaux de Rouen | Recruiting |
| Rouen, Haute-Normandie, France, 76031 | |
| Contact: Olivier MARTINAUD, Doctor 0232888740 ext +33 olivier.martinaud@chu-rouen.fr | |
| Sub-Investigator: Aude TRIQUENOT, Doctor | |
| Sub-Investigator: Evelyne GUEGAN-MASSARDIER, Doctor | |
| Sub-Investigator: François PROUST, Professor | |
| Sub-Investigator: Emmanuel GERARDIN, Doctor | |
| Sub-Investigator: Didier HANNEQUIN, Professor | |
| Principal Investigator: | Olivier MARTINAUD, Doctor | Service de neurologie et centre mémoire de ressources et recherche |
More Information
No publications provided
| Responsible Party: | University Hospital, Rouen |
| ClinicalTrials.gov Identifier: | NCT01304576 History of Changes |
| Other Study ID Numbers: | 2009/126/HP, number ID RCB 2009-A01005-52 |
| Study First Received: | August 23, 2010 |
| Last Updated: | December 21, 2012 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by University Hospital, Rouen:
|
stroke parietal lesions |
Additional relevant MeSH terms:
|
Agnosia Cerebrovascular Disorders Perceptual Disorders Neurobehavioral Manifestations Neurologic Manifestations Nervous System Diseases |
Signs and Symptoms Brain Diseases Central Nervous System Diseases Vascular Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on June 17, 2013