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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 uppdaterad 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.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

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.

Studietyp

Observationell

Inskrivning (Faktisk)

22

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Frankrike
      • Tours, Frankrike, 37044
        • University Hospital

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Testmetod

Icke-sannolikhetsprov

Studera befolkning

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

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Kohorter och interventioner

Grupp / Kohort
Intervention / Behandling
Case
patients with a history of surgical removal of diffuse low grade glioma located in the supplementary motor area
Övrig: 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
Övrig: Test battery
motor and neuropsychological test battery

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
motor tests in the case group - 400 point assessment
Tidsram: 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
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
motor tests in the control group - 400 point assessment
Tidsram: 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
Tidsram: 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
Tidsram: inclusion visit
Analysis of the location of diffuse low-grade gliomas
inclusion visit
Brain MRI
Tidsram: 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
Tidsram: 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)
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

University Hospital, Tours

Utredare

  • Huvudutredare: Ilyess ZEMMOURA, University Hospital, Tours

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

19 maj 2022

Primärt slutförande (Faktisk)

23 juni 2022

Avslutad studie (Faktisk)

23 juni 2022

Studieregistreringsdatum

Först inskickad

2 maj 2022

Först inskickad som uppfyllde QC-kriterierna

12 maj 2022

Första postat (Faktisk)

13 maj 2022

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

7 september 2022

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

5 september 2022

Senast verifierad

1 september 2022

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • DR220033

Plan för individuella deltagardata (IPD)

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