Deep Brain Stimulation vs. Vagus Nerve Stimulation for Epileptic Spasms

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age5-17
SponsorThe Hospital for Sick Children

About this trial

Deep Brain Stimulation vs. Vagus Nerve Stimulation for the Treatment of Drug-Resistant Epilepsy and Epileptic Spasms in Children: A Randomized Control Trial

Eligibility criteria

Qualifiers

Female or Male patients 5 years of age and over (17 and 11 months), not including 18 years old

Diagnosis of drug-resistant epilepsy with failure after trial of two anti-epileptic

Medications (as defined by Kwan et al. 20093). All children screened for entry into the study will be re-diagnosed by a neurologist prior to entry.

Main seizure type includes epileptic spasms and tonic spasms, as confirmed by electroencephalography.

Disqualifiers

Substance dependence or abuse in the last 6 months, excluding caffeine and nicotine

Any contraindication to MRI scanning. A preoperative MRI scan is essential to

Planning DBS and therefore any contraindication to MRI is a contraindication to enrollment in the study.

Unwillingness or inability to return to SickKids for follow-up visits.

Trial design

Treatments tested in this trial

  • DBS Arm
  • VNS arm

Treatment groups

20 Participants
are divided into 2 treatment groups

Sponsors and collaborators