Consciousness Disorders
Conditions
Keywords
disorders of consciousness, deep brain stimulation, transcranial magnetic stimulation
Brief summary
Aims:To explore the consciousness stimulation role of DBS (Deep Brain Stimulation) and TMS (Transcranial Magnetic Simulation) for DOC (Disorders of Consciousness) patients. Methods:Seventy-five DOC patients will be randomised into three groups: DBS group, TMS group and Control group. Three months after treatments, the result will be analysed and concluded.
Detailed description
To explore the consciousness stimulation role of DBS (Deep Brain Stimulation) and TMS (Transcranial Magnetic Stimulation) for DOC (Disorders of Consciousness) patients. Seventy-five DOC patients will be randomised into three groups: DBS group, TMS group and Control group. These patients will be recorded the conscious level, fMRI (functional magnetic resonance imaging) and EEG evaluation before treatment of research, and three months later the prognosis was also recorded. Finally, the variation of consciousness, prognosis, fMRI and EEG index for three groups will be analyzed and compared. Hopefully, there will be a conclusion for these treatments to DOC patients.
Interventions
Deep brain stimulation means stimulate the brain with DBS.
Transcranial magnetic stimulation means stimulate the brain with magnetic stimulation.
Means without above additional treatment.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients ages 14 to 65 years old; 2. DOC patients, including vegetative state and minimally consciousness state. 3. With normal body temperature, stable vital signs, spontaneous breathing without extra oxygen supply, no tracheotomy using metal trachea cannula, and feasible for magnetic resonance inspectors; 4. Written informed consent from patient families
Exclusion criteria
1. History with nervous or spirit disorders, or some other serious diseases such as cardiac or pulmonary problems; 2. Patients with V-P shunt or ommaya implantation, which may effects magnetic resonance scan signal analysis; 3. Body temperature is abnormal, vital signs is not stable, still need ventilator to support breathing; Plentiful sputum needed suction during MRI scans.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The consciousness variation of DBS and TMS for DOC Patients in a large scale randomised trial (revised-coma recovery scale) | 3 months | revised-coma recovery scale(CRS-R) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The conscious index based on fMRI | 3 months | Using fMRI to evaluate consciousness in DoC patients |
| The conscious index based on EEG | 3 months | Using EEG to evaluate consciousness in DoC patients |
Countries
China