A Multicenter Pilot Study of Pallidal Deep Brain Stimulation for Cervical Dystonia
Recruitment status was Active, not recruiting
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Purpose
The purposes of this study are:
- to determine if bilateral pallidal deep brain stimulation results in improvement in neck postures/movements;
- to determine if bilateral pallidal deep brain stimulation results in improvement in quality of life; and
- to document the adverse effects of surgery in patients with cervical dystonia.
| Condition | Intervention |
|---|---|
|
Cervical Dystonia |
Device: Deep brain stimulation |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Single Blind Primary Purpose: Treatment |
| Official Title: | A Multicenter Pilot Study of Pallidal Deep Brain Stimulation of Cervical Dystonia |
- Improvement in neck postures/movements
- Improvement in quality of life
- Document adverse effects of surgery
| Estimated Enrollment: | 10 |
| Study Start Date: | February 2003 |
| Estimated Study Completion Date: | September 2005 |
Deep brain stimulation (DBS) of the globus pallidus has been proposed as a treatment for cervical dystonia. At present there are only anecdotal reports of benefit. The objective of this project is to prospectively assess the outcomes of DBS on cervical dystonia in a blinded manner. Our hypothesis is that in patients refractory to medical management, bilateral pallidal DBS will reduce the severity of cervical dystonia at 1 year follow up.
The research plan is that of a feasibility study, examining outcomes of 10 patients who would be referred for surgical management due to the severity of their disease. The Toronto Western Spasmodic Torticollis Rating Scale (TWSTR) will be preformed by a blinded neurologist at the completion of the trial.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult patients, male or female
- Diagnosed with cervical dystonia by a movement disorders neurologist
- Has cervical dystonia alone, not generalized or multifocal
- Has had adequate trials of medical therapy
Exclusion Criteria:
- Cognitive impairment
- Abnormalities on pre-operative magnetic resonance imaging (MRI)
- Medical conditions precluding general anaesthetic or surgery
- Unstable psychiatric disease
- Previous brain lesions to treat cervical dystonia
Contacts and Locations| Canada, Alberta | |
| Dr. Zelma Kiss | |
| Calgary, Alberta, Canada, T2N 4N1 | |
| Dr. Matt Wheatley | |
| Edmonton, Alberta, Canada, T2G 2B7 | |
| Canada, British Columbia | |
| Dr. Chris Honey | |
| Vancouver, British Columbia, Canada, V5Z 4E5 | |
| Canada, Manitoba | |
| Dr. Jerry Krcek | |
| Winnipeg, Manitoba, Canada, R3C 0N2 | |
| Canada, Ontario | |
| Dr. Andrew Parrent | |
| London, Ontario, Canada, N6A 5A5 | |
| Principal Investigator: | Zelma Kiss, MD | University of Calgary |
More Information
Additional Information:
No publications provided by University of Calgary
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00132990 History of Changes |
| Other Study ID Numbers: | 16760 |
| Study First Received: | August 18, 2005 |
| Last Updated: | January 11, 2007 |
| Health Authority: | Canada: Health Canada |
Keywords provided by University of Calgary:
|
Cervical dystonia Deep brain stimulation |
Additional relevant MeSH terms:
|
Dystonia Dystonic Disorders Torticollis Dyskinesias Neurologic Manifestations |
Nervous System Diseases Signs and Symptoms Movement Disorders Central Nervous System Diseases |
ClinicalTrials.gov processed this record on June 18, 2013