Changes in Attentional Control After a Focal Seizure.

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-80
SponsorUniversity Hospital, Lille

About this trial

Epilepsy is frequently associated with cognitive and attentional disorders. Several studies have pointed out that there are modifications of brain activity in resting state during peri-ictal period in EEG and functional MRI. However, to date, no study has assessed the changes in attentional control after a seizure. The investigators hypothesize that a localized discharge is associated with a disorganization of the networks engaged in attentional control. In this regard, the investigators propose a prospective longitudinal study assessing the changes in attentional control after a focal seizure.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age superior to 18 and under 80

Focal epilepsy with indication to pre-surgery work-up and 5 days programmed hospitalization dedicated to this work-up

Normal global cognitive performance (standard progressive Raven matrices score > 5th percentile)

Be affiliated to the social security system

Disqualifiers

Pregnancy or breastfeeding

Not able to give consent (Article 1121-8 of the CSP)

Vulnerable person

Being deprived of liberty by judicial or administrative decision (Article L 1121-6 of the CSP)

Trial population

Administration of the subtest of divided attention of the Test of Attentional Performance (TAP), recording of the event related potentiels N200 and P300, measure of the variation of power in several frequency bands (theta, alpha and beta) and measure of the high-resolution EEG connectivity during an attentional task at several time-points : a first time during interictal period (no seizure for more than 24 hours) and 1, 3, 6 and 24 hours after a focal seizure.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • All included subjects

    Other intervention

    Administration of the subtest of divided attention of the Test of Attentional Performance (TAP), recording of the event related potentiels N200 and P300, measure of the variation of power in several frequency bands (theta, alpha and beta) and measure of the high-resolution EEG connectivity during an attentional task at several time-points : a first time during interictal period (no seizure for more than 24 hours) and 1, 3, 6 and 24 hours after a focal seizure.

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Subtest of divided attention of the Test of Attentional Performance (TAP)

A first time during interictal period (no seizure for more than 24 hours) (this first measure will be repeated every day until a seizure is recorded) and 1, 3, 6 and 24 hours after a focal seizure.

Time frame
24 hours

Secondary outcomes

1

N200 amplitude and latency

A first time during interictal period (no seizure for more than 24 hours) (this first measure will be repeated every days until a seizure is recorded) and 1, 3, 6 and 24 hours after a focal seizure.

Time frame
24 hours
2

Strength of EEG functionnal connectivity during an attentional task (global and regional)

A first time during interictal period (no seizure for more than 24 hours) (this first measure will be repeated every days until a seizure is recorded) and 1, 3, 6 and 24 hours after a focal seizure.

Time frame
24 hours
3

Variation of power in several frequency bands (theta, alpha and beta) during an attentional task.

A first time during interictal period (no seizure for more than 24 hours) (this first measure will be repeated every day until a seizure is recorded) and 1, 3, 6 and 24 hours after a focal seizure.

Time frame
24 hours
4

Magnetic resonance imaging functional connectivity.

Time frame
up to 5 days

Other outcomes

Sponsors and contacts

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