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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 oppdatert av: 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.

Studieoversikt

Status

Fullført

Intervensjon / Behandling

Detaljert 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.

Studietype

Observasjonsmessig

Registrering (Faktiske)

22

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

      • Tours, Frankrike, 37044
        • University Hospital

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Kohorter og intervensjoner

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

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
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
Tiltaksbeskrivelse
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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Hovedetterforsker: Ilyess ZEMMOURA, University Hospital, Tours

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

19. mai 2022

Primær fullføring (Faktiske)

23. juni 2022

Studiet fullført (Faktiske)

23. juni 2022

Datoer for studieregistrering

Først innsendt

2. mai 2022

Først innsendt som oppfylte QC-kriteriene

12. mai 2022

Først lagt ut (Faktiske)

13. mai 2022

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

7. september 2022

Siste oppdatering sendt inn som oppfylte QC-kriteriene

5. september 2022

Sist bekreftet

1. september 2022

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

UBESLUTTE

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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