The Influence of SISCOM on Intracranial Electrode Implantation in Epilepsy Surgical Candidates
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|ClinicalTrials.gov Identifier: NCT00587951|
Recruitment Status : Completed
First Posted : January 8, 2008
Last Update Posted : January 8, 2008
The aim of this study is to determine the role of SISCOM (see below) in aiding clinicians to manage epilepsy surgery candidates. SISCOM is already a routine component of pre-surgical epilepsy evaluation at Mayo Clinic. In particular, we are interested in assessing whether use of SISCOM can minimize the need for prolonged (>24 hours) invasive monitoring with electrodes placed on the surface of the brain prior to surgical resection.
Note: this study has recruited the required number of patients and is closed to further enrolment.
|Condition or disease|
Successful epilepsy surgery depends on accurate identification of the area of brain from which seizures originate (the epileptogenic zone). There are many non-invasive tests (including EEG and MRI) to indicate this area. Some patients require implantation of intracranial electrodes in order to determine the epileptogenic zone. A test known as SISCOM (subtraction ictal-interictal SPECT co-registered with MRI) has been validated as a non-invasive means of indicating the epileptogenic zone. However, this test is not widely available in the US, and it is not known how often the additional information provided by SISCOM makes a difference to clinical decision-making.
In order to determine the contribution of SISCOM towards clinical decision-making in epilepsy surgery candidates, we will ask epileptologists at Mayo Clinic to consider case presentations given all clinical information except for SISCOM results, and then to reconsider those same cases in conjunction with SISCOM data. This will indicate the degree to which SISCOM influences decision making.
50 patients at Mayo Clinic (38 adults, 12 children) will be enrolled.
|Study Type :||Observational|
|Actual Enrollment :||50 participants|
|Official Title:||The Influence of SISCOM on Intracranial Electrode Implantation in Epilepsy Surgical Candidates|
|Study Start Date :||December 2005|
|Actual Primary Completion Date :||February 2007|
|Actual Study Completion Date :||February 2007|
Candidates for epilepsy surgery, undergoing pre-surgical evaluation at Mayo Clinic, and in whom SISCOM was ordered by the treating physician as part of that evaluation
- Category of management recommendation (proceed straight to surgical resection, intracranial electrode implantation, more imaging studies OR recommend medical rather than surgical management) [ Time Frame: Instantaneous ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00587951
|United States, Minnesota|
|Rochester, Minnesota, United States, 55905|
|Principal Investigator:||Meng Tan, MD||Mayo Clinic|