RecruitingNot ApplicableNCT05335187

Hybrid Micro-macro Electrodes in Patients With Epilepsy

Hybrid Micro-macro Electrodes to Record the Activity of Single Neurons During Seizures in Patients Who Suffer From Epilepsy


Sponsor

Pierre Mégevand

Enrollment

30 participants

Start Date

Mar 30, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The aim of the MicroEPI study is to know whether it is possible to use safely a medical device (a micro-electrode) that allows recording the activity of neurons in the human brain. Patients who suffer from drug-resistant epilepsy and who are candidates to epilepsy surgery to alleviate their condition sometimes require the implantation of intracranial EEG electrodes for a few weeks, in order to determine as best as possible which region of the brain to operate on. In the MicroEPI study, some of these electrodes will also comprise micro-electrodes, allowing us to record the activity of the patients' neurons during their epileptic seizures.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Patient 18 years old or older suffering from drug-resistant focal epilepsy.
  • Candidate for epilepsy surgery.
  • Requires evaluation with intracranial stereo-EEG electrodes.
  • Able and willing to provide informed consent.

Exclusion Criteria9

  • Any acute infection (e.g. fever, throat infection).
  • Skin or scalp infection over the implantation site.
  • Thin or fragile skull bones, which would prevent stereo-EEG electrodes from being anchored safely.
  • Increased risk of infections, either from a medical condition or from immunosuppressant medication.
  • Increased risk of bleeding, either from a medical condition or from antiplatelet or anticoagulant medication.
  • Severe concomitant medical disease (including, but not limited to, cardiovascular, respiratory, renal or hepatic disease).
  • Severe concomitant psychiatric disease or major psychological distress.
  • Women who are pregnant or breastfeeding during the study.
  • Patients who have an implanted stimulation device (e.g. pacemaker, defibrillator, neurostimulator).

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Interventions

DEVICEmicro-macro electrode implantation

One or a handful of micro-macro electrodes are implanted for 2-4 weeks in patients undergoing epilepsy monitoring with intracranial EEG electrodes.


Locations(2)

Inselspital Bern

Bern, Canton of Bern, Switzerland

Hôpitaux Universitaires de Genève

Geneva, CH, Switzerland

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NCT05335187


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