Investigation of Non-Invasive Outcomes Predictors in Patients Undergoing DBS for Movement Disorders
Study Details
Study Description
Brief Summary
The purpose of the study is to determine if non-invasive measurements of brain waves from the skin called electroencephalography (EEG) can predict whether the brain stimulator will help your symptoms. Our goal is to obtain these brain wave measurements with patients both awake and under general anesthesia, and then to evaluate which brain wave patterns are associated with clinical improvement to determine if they could be useful for predicting whether the surgery will work. If such predictive measures were established based upon the findings of this study, they could be used in the future to improve surgical outcomes in the following ways: (1) to help guide surgical targeting in the operating room awake or under anesthesia, (2) to guide post-operative programming in clinic, and (3) and to develop potential feedback systems for "automatic" programming of the brain stimulator system at home.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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DBS subjects deep brain stimulation (DBS) in patients with Parkinson's disease, tremor, dystonia, and Tourette's syndrome |
Outcome Measures
Primary Outcome Measures
- Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) [Change in the rating scale score at 6 months post-op versus pre-op baseline]
Validated rating scale for measuring symptoms of Parkinson's disease
- The Essential Tremor Rating Assessment Scale (TETRAS) [Change in the rating scale score at 6 months post-op versus pre-op baseline]
Validated rating scale for measuring symptoms of essential tremor
- Burke-Fahn-Marsden (BFM) Dystonia Rating Scale [Change in the rating scale score at 6 months post-op versus pre-op baseline]
Validated rating scale for measuring symptoms of primary dystonia
- Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS) [Change in the rating scale score at 6 months post-op versus pre-op baseline]
Validated rating scale for measuring symptoms of primary cervical/segmental dystonia
- Yale Global Tic Severity Scale [Change in the rating scale score at 6 months post-op versus pre-op baseline]
Validated rating scale for tic severity
- Deep Brain Stimulation (DBS) Therapeutic Window [1 month post-operative scores for each contact on the DBS electrode array]
Measurement of the available range of stimulation intensities for therapy for each contact on the DBS electrode array
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients who elect to undergo deep brain stimulation as part of routine clinical care for movement disorders (Parkinson's disease, essential tremor, dystonia, Tourette's syndrome).
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Adults, ages 19 and older
Exclusion Criteria:
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Patients who are outside the age range for inclusion
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Patients who are unable to consent to the research for cognitive or behavioral reasons
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Patients who are medically too ill to participate, and
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Patients who have their DBS programming at outside facilities
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of Alabama at Birmingham | Birmingham | Alabama | United States | 35233 |
Sponsors and Collaborators
- University of Alabama at Birmingham
- Medtronic
Investigators
- Principal Investigator: Harrison Walker, MD, University of Alabama at Birmingham
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- F140225003