Unique ID issued by UMIN | UMIN000044846 |
---|---|
Receipt number | R000051221 |
Scientific Title | Retrospective exploratory clinical study to identify epileptogenic foci by statistical analysis of electrocorticographic signals during general anesthesia in patients with intractable epilepsy (observational study) |
Date of disclosure of the study information | 2021/07/13 |
Last modified on | 2022/01/12 11:50:03 |
Retrospective exploratory clinical study to identify epileptogenic foci by statistical analysis of electrocorticographic signals during general anesthesia in patients with intractable epilepsy (observational study)
Retrospective exploratory clinical study to identify epileptogenic foci by statistical analysis of electrocorticographic signals during general anesthesia in patients with intractable epilepsy (observational study)
Retrospective exploratory clinical study to identify epileptogenic foci by statistical analysis of electrocorticographic signals during general anesthesia in patients with intractable epilepsy (observational study)
Retrospective exploratory clinical study to identify epileptogenic foci by statistical analysis of electrocorticographic signals during general anesthesia in patients with intractable epilepsy (observational study)
Japan |
refractory epilepsy
Anesthesiology | Neurosurgery |
Others
NO
In this study, we analyze the effect of anesthetic agents on electroencephalography in refractory epilepsy patients equipped with chronic intracranial electrode. Our aim of this study is to examine whether it is possible to identify the epileptogenic foci of the patient using this method. Finally, it is expected that refractory epilepsy patients undergoing focal lobectomy can skip intracranial electrode placement.
Efficacy
MI value at each anesthesia stage and each intracranial electrode.
The ECoG analysis period was divided into the following five anesthetic stages: [1] baseline wakefulness before the anesthetic induction; [2] first 1/3; [3] middle 1/3; [4] last 1/3 periods between the sevoflurane initiation and its concentration reaching 2.0 MAC; [5] sevoflurane 2.0 MAC maintenance.
MI value at given anesthesia stage and given intracranial electrode when the epileptigenic region and the non-epileptic region are classified
Observational
Not applicable |
Not applicable |
Male and Female
1) Patients with refractory epilepsy who are scheduled for focal resection after placement of intracranial electrode
2) Patients with obvious abnormalities in MRI in the area expected to show epileptogenicity
3) Patients with ASA-PS (American association of anesthesia physical status) 1-2
4) Patients in NCNP hospital
5) Patients achieving ILAE class 1 outcome at least six months after surgical resection
1) Patients who cannot be used sevoflurane
2) Patients who cannot be used propofol
3) The case an anesthetic other than sevoflurane, propofol, remifentanil, rocuronium is used during EEG measurement
4) Patients with ASA-PS3 or higher
5) Patients with epilepsy surgery not intended for radical surgery
6) The case does not agree with the prescribed bank consent
7) Other persons whom representative of this study consider inappropriate
8) Patients achieving ILAE class 2 or higher outcome at least six months after surgical resection
8
1st name | Keiko |
Middle name | |
Last name | Wada |
National Center of Neurology and Psychiatry
Department of Anesthesiology
187-8551
4-1-1, Ogawahigashi-cho, Kodaira-shi, Tokyo, Japan
042-341-2712
keikotoki@ncnp.go.jp
1st name | Keiko |
Middle name | |
Last name | Wada |
National Center of Neurology and Psychiatry
Department of Anesthesiology
187-8551
4-1-1, Ogawahigashi-cho, Kodaira-shi, Tokyo, Japan
042-341-2712
keikotoki@ncnp.go.jp
National Center of Neurology and Psychiatry
National Center of Neurology and Psychiatry
Other
National Center of Neurology and Psychiatry
4-1-1, Ogawahigashi-cho, Kodaira-shi, Tokyo, Japan
042-341-2712
rinri-jimu@ncnp.go.jp
NO
2021 | Year | 07 | Month | 13 | Day |
Published
8
Completed
2021 | Year | 04 | Month | 20 | Day |
2021 | Year | 06 | Month | 30 | Day |
2021 | Year | 07 | Month | 01 | Day |
2021 | Year | 11 | Month | 04 | Day |
2021 | Year | 11 | Month | 04 | Day |
2021 | Year | 11 | Month | 04 | Day |
2021 | Year | 11 | Month | 04 | Day |
observational study
2021 | Year | 07 | Month | 13 | Day |
2022 | Year | 01 | Month | 12 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051221