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Evaluation of Cognitive and Motor Neurological Disorders in the Short and Long Term After Surgery for the Removal of a Diffuse Low-grade Glioma of the Supplementary Motor Area (POG-C)

5. september 2022 opdateret af: University Hospital, Tours

Background : The supplementary motor area is the most common/preferential brain location of LGG. This area plays an important role in many motor and cognitive functions such as motor initiation, bimanual coordination and executive functions. Many studies describe the supplementary motor area syndrome resulting from lesions in this area. News managements for LGGs consisting in intraoperative mapping in awake patients reduce significantly neurological disorders and increase also the overall survival . However, the literature does not provide data concerning motor and cognitive functions in a long term and their consequences in the quality of life of patients.

Objective : The aim of our research project is to identify whether there are some motor or neurocognitive deficit in the short and the long term in a population of patients who have medical story of LGG resection in the supplementary motor area.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Patients and Methods : 20 patients who have medical story of LGG in the supplementary motor area and 20 patients who have medical story of LGG resection in other locations are recruited. Firstly, patients have to complete a self-assessment questionnaire about their quality of life, sent by regular mail or e-mail. Then, patients are admitted on the same day as their follow up visit and underwent motor and neurocognitive screening tests ( "Bilan des 400 points", Tests of Attentional Performances) for an hour. The investigators will analyse data and compare between the 2 groups.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

22

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Frankrig
      • Tours, Frankrig, 37044
        • University Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Adult patients with low-grade diffuse glioma resection visiting the university hospital for a follow-up neurosurgical consultation

Beskrivelse

Inclusion Criteria:

  • 18 years of age or older
  • Have a history of low-grade diffuse glioma resection
  • Visiting the University Hospital for a follow-up neurosurgical consultation
  • Underwent awake surgery

Exclusion Criteria:

  • Presence of cognitive disorders that do not allow the proposed test battery to be performed
  • Under guardianship or curatorship
  • Opposition to the participation to the research

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Case
patients with a history of surgical removal of diffuse low grade glioma located in the supplementary motor area
Andet: Test battery
motor and neuropsychological test battery
Control
patients with a history of surgical removal of diffuse low-grade glioma located in another brain area
Andet: Test battery
motor and neuropsychological test battery

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
motor tests in the case group - 400 point assessment
Tidsramme: inclusion visit

analysis of the scores obtained at the tests 4 tests :

  • Hand mobility
  • Grip strength
  • Single-handed grasp and movement of objects
  • Two-handed grasp and movement of objects Minimum value = 0 Maximum value = 100 100/100 means that the various tests regain good motor skills and hand grasp
inclusion visit
neuropsychological tests in the case group
Tidsramme: inclusion visit

analysis of the scores obtained Phase alert system

  • Reaction time (RT) and standard deviation (SD) measurement with horn
  • Measurement of reaction times (RT) and standard deviation(SD) without horn
  • Measurement of the phase alert index

Flexibility

  • Measurement of reaction times (RT) and standard deviation (SD) with hand change
  • Measurement of reaction times (RT) and standard deviation (SD) without hand change
  • Overall performance index
  • Speed accuracy trade off index
  • Number of wrong answers

Incompatibility

  • Measurement of reaction times (RT) and standard deviation (SD) in compatible condition
  • Measurement of reaction times (RT) and standard deviation (SD) in incompatible condition
  • F (visual field)
  • F (hand)
  • F (incompatibility: fields * hand)
  • Number of false responses

RT min : 0 SD min : 0 No maximum value: calculation against standard values
inclusion visit

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
motor tests in the control group - 400 point assessment
Tidsramme: inclusion visit

analysis of the scores obtained at the tests 4 tests :

  • Hand mobility
  • Grip strength
  • Single-handed grasp and movement of objects
  • Two-handed grasp and movement of objects Minimum value = 0 Maximum value = 100 100/100 means that the various tests regain good motor skills and hand grasp
inclusion visit
neuropsychological tests in the control group
Tidsramme: inclusion visit

analysis of the scores obtained Phase alert system

  • Reaction time (RT) and standard deviation (SD) measurement with horn
  • Measurement of reaction times (RT) and standard deviation(SD) without horn
  • Measurement of the phase alert index

Flexibility

  • Measurement of reaction times (RT) and standard deviation (SD) with hand change
  • Measurement of reaction times (RT) and standard deviation (SD) without hand change
  • Overall performance index
  • Speed accuracy trade off index
  • Number of wrong answers

Incompatibility

  • Measurement of reaction times (RT) and standard deviation (SD) in compatible condition
  • Measurement of reaction times (RT) and standard deviation (SD) in incompatible condition
  • F (visual field)
  • F (hand)
  • F (incompatibility: fields * hand)
  • Number of false responses

RT min : 0 SD min : 0 No maximum value: calculation against standard values
inclusion visit
Brain MRI
Tidsramme: inclusion visit
Analysis of the location of diffuse low-grade gliomas
inclusion visit
Brain MRI
Tidsramme: inclusion visit
Analysis of the lesion volume of diffuse low-grade gliomas
inclusion visit
quality of life self-questionnaire carried out at home : sickness Impact Profile
Tidsramme: inclusion visit
analysis of the results obtained 136 questions with responses True or False Minimum value = 0 Maximum value = 136 136/136 means that the quality of life is very negatively affected
inclusion visit
fatigue self-questionnaire carried out at home : fatigue Impact Scale (FIS)
Tidsramme: inclusion visit

analysis of the results obtained 40 questions with responses

  • It is quite true
  • It is rather true
  • It is neither true nor false
  • It is rather false
  • It is completely false
inclusion visit

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University Hospital, Tours

Efterforskere

  • Ledende efterforsker: Ilyess ZEMMOURA, University Hospital, Tours

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

19. maj 2022

Primær færdiggørelse (Faktiske)

23. juni 2022

Studieafslutning (Faktiske)

23. juni 2022

Datoer for studieregistrering

Først indsendt

2. maj 2022

Først indsendt, der opfyldte QC-kriterier

12. maj 2022

Først opslået (Faktiske)

13. maj 2022

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

7. september 2022

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

5. september 2022

Sidst verificeret

1. september 2022

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • DR220033

Plan for individuelle deltagerdata (IPD)

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