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FMRI Assessment After Radiofrequency in Trigeminal Neuralgia

Primary Purpose

Trigeminal Neuralgia, Pain, Neuropathic

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
pulsed Radiofrequency
thermal Radiofrequency
Sponsored by
Assiut University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Trigeminal Neuralgia

Eligibility Criteria

20 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age 20 - 65 years
  • Primary trigeminal neuralgia
  • Maxillary and/or mandibular affection only
  • Failure of medical treatment

Exclusion Criteria:

  • 2ry trigeminal neuralgia
  • Recurrent trigeminal neuralgia
  • Ophthalmic branch affection
  • Contraindication for intervention (sepsis, coagulopathy, infection at entery point, local anesthetic allergy,…)
  • Pregnancy

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    pulsed radiofrequency

    thermal Radiofrequency

    Arm Description

    sensory stimulation will be carried out at 50 Hz. The definitive position of the electrode will be verified by inducing paresthesia with sensory stimulation between 0.1-0.3 V in the affected painful area, then pulsed radiofrequency will be applied for 10 patients for 10 mins

    sensory stimulation will be carried out at 50 Hz. The definitive position of the electrode will be verified by inducing paresthesia with sensory stimulation between 0.1-0.3 V in the affected painful area, then Thermal lesion will be applied for 10 patients for 2 cycles of 90 seconds

    Outcomes

    Primary Outcome Measures

    pain alleviation
    pain assessment by functional MRI

    Secondary Outcome Measures

    Full Information

    First Posted
    September 22, 2017
    Last Updated
    July 25, 2020
    Sponsor
    Assiut University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03305289
    Brief Title
    FMRI Assessment After Radiofrequency in Trigeminal Neuralgia
    Official Title
    Brain Activity Assessment by Functional MRI Before, After Radiofrequency of Gasserian Ganglia in Patient With Trigeminal Neuralgia
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2020
    Overall Recruitment Status
    Unknown status
    Study Start Date
    December 1, 2020 (Anticipated)
    Primary Completion Date
    October 30, 2021 (Anticipated)
    Study Completion Date
    October 30, 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Assiut University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    To investigate the brain activations related to TN, using fMRI, and to evaluate changes in these activations following the application of pulsed and thermal Radiofrequency lesioning to the gasserien ganglion.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Trigeminal Neuralgia, Pain, Neuropathic

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    20 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    pulsed radiofrequency
    Arm Type
    Active Comparator
    Arm Description
    sensory stimulation will be carried out at 50 Hz. The definitive position of the electrode will be verified by inducing paresthesia with sensory stimulation between 0.1-0.3 V in the affected painful area, then pulsed radiofrequency will be applied for 10 patients for 10 mins
    Arm Title
    thermal Radiofrequency
    Arm Type
    Active Comparator
    Arm Description
    sensory stimulation will be carried out at 50 Hz. The definitive position of the electrode will be verified by inducing paresthesia with sensory stimulation between 0.1-0.3 V in the affected painful area, then Thermal lesion will be applied for 10 patients for 2 cycles of 90 seconds
    Intervention Type
    Procedure
    Intervention Name(s)
    pulsed Radiofrequency
    Intervention Description
    sensory stimulation will be carried out at 50 Hz. The definitive position of the electrode will be verified by inducing paresthesia with sensory stimulation between 0.1-0.3 V in the affected painful area, then pulsed radiofrequency will be applied for 10 patients for 10 mins
    Intervention Type
    Procedure
    Intervention Name(s)
    thermal Radiofrequency
    Intervention Description
    sensory stimulation will be carried out at 50 Hz. The definitive position of the electrode will be verified by inducing paresthesia with sensory stimulation between 0.1-0.3 V in the affected painful area, then Thermal lesion will be applied for 10 patients for 2 cycles of 90 seconds
    Primary Outcome Measure Information:
    Title
    pain alleviation
    Description
    pain assessment by functional MRI
    Time Frame
    1 month

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Age 20 - 65 years Primary trigeminal neuralgia Maxillary and/or mandibular affection only Failure of medical treatment Exclusion Criteria: 2ry trigeminal neuralgia Recurrent trigeminal neuralgia Ophthalmic branch affection Contraindication for intervention (sepsis, coagulopathy, infection at entery point, local anesthetic allergy,…) Pregnancy

    12. IPD Sharing Statement

    Plan to Share IPD
    Undecided

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    FMRI Assessment After Radiofrequency in Trigeminal Neuralgia

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