Deep Brain Stimulation in Laryngeal Dystonia and Voice Tremor

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorMassachusetts Eye and Ear Infirmary

About this trial

The goals of this project are 1) to determine the incidence of neurological voice disorders in patients with dystonia and essential tremor undergoing deep brain stimulation (DBS), 2) investigate the neuroimaging and intracranial neurophysiology correlates of voice dysfunction in these subjects, and subsequently 3) determine the effects of DBS on voice function.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Clinical indications to proceed with DBS implantation, as determined by the clinical multidisciplinary movement disorders board, including: a) definitive diagnosis of essential tremor or dystonia, b) medically refractory disease, c) adequate performance on neuropsychological evaluation as determined by a licensed clinical neuropsychologist.

The ability to comply with test directions, complete pre-operative task training, and provide informed consent.

Age 18-80 years.

Disqualifiers

None

Trial design

Design model

Single group

Treatments tested in this trial

  • Deep Brain Stimulation

    Procedure/Surgery

    Clinically indicated DBS treatment for dystonia or tremor with simultaneous research electrocorticography (ECoG).

Treatment groups

120 Participants
are divided into 1 treatment group
Group A: Electrophysiological signal data collectionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Correlations between brain signals and intraoperative voice and speech production performance.

Analysis of intraoperative recordings from deep basal ganglia structures and cortical regions relevant to voice and speech control.

Time frame
5 years
2

Changes in standard clinical outcome for dystonia patients

Quantitative measures of voice and motor changes following deep brain stimulation surgery using standard clinical criterion of Burk-Fahn-Marsden Dystonia Rating Scale where higher score means a worse outcome.

Time frame
5 years
3

Changes in standard clinical outcome for tremor patients

Quantitative measures of voice and motor changes following deep brain stimulation surgery using standard clinical criterion of Fahn-Tolosa-Marin Tremor Rating Scale where higher score means a worse outcome.

Time frame
5 years

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Massachusetts Eye and Ear Infirmary

Lead sponsor

Massachusetts General Hospital

Collaborator

University of Utah

Collaborator

University of California, San Francisco

Collaborator

UMass Memorial Health

Collaborator

University of Iowa

Collaborator