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Transcranial and Rapid Magnetic Stimulation for Gait Apraxia Due to Normal Pressure Hydrocephalus and Cerebral Ischemia
This study is currently recruiting participants.
Verified by Devathasan Neurology Practice Pte Ltd, June 2007
Sponsored by: Devathasan Neurology Practice Pte Ltd
Information provided by: Devathasan Neurology Practice Pte Ltd
ClinicalTrials.gov Identifier: NCT00494689
  Purpose

The investigator(neurologist) has published a study in International Congress Series, in the 15th International Conference of Biomagnetism Vancouver Proceedings 2006,and Science Direct website, of 15 patients with brain ischemia and dilated ventricles who improve when treated with transcranial monitoring or low ultrasound wave intensity (milliwatts) and with rapid magnetic stimulation which is also a diagnostic tool routinely used by many neurophysiologists. Before, these patients will progress and may need a brain shunt called Ventriculo-peritoneal shunt. He and collaborators now would like to do a double study as this appears to be a cheap and effective alternative treatment and help patients to walk again.


Condition
Walking
Cognitive Function

MedlinePlus related topics: Hydrocephalus
U.S. FDA Resources
Study Type: Observational
Study Design: Psychosocial, Longitudinal, Case Control, Prospective Study

Further study details as provided by Devathasan Neurology Practice Pte Ltd:

Estimated Enrollment: 30
Study Start Date: January 2002
Estimated Study Completion Date: June 2007
Detailed Description:

The transcranial monitoring intensity would be equivalent to the well known CLOTBUST study (<300mw/sq cm)for one hour, using two probes.

All will be treated as an outpatient and there is no form of infusion or interventional treatment.

The rapid magnetic stimulation is at about 50a/us, 15Hz, 1000 pulses with 10 sec pause for ten days along the skull vault. Informed consent will be obtained. 30 patients will be recruited and sham treatment would be just applying probe without power for transcranial and for magnetic stimulation coil will be angled away. Data will be compiled by a separate blinded investigator and so with the statistics. VP shunt failure patients, which is common, will be included. Barthel's daily living index and standard cognitive tests will be used to assess results.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • cerebral ischemia with our without hydrocephalus and gait apraxia

Exclusion Criteria:

  • all other conditions which contribute to walking difficulty e.g. bad knees; or spondylosis; parkinson's or paralytic strokes
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00494689

Contacts
Contact: Devathasan Gobinathan, FRCP,MD 65-67330311 devathasan@msn.com
Contact: Weng Kiong Ow Yong, Bsc 65-97970966 gdeva@yahoo.com

Locations
Singapore
Devathasan Neurology Practice Recruiting
Singapore, Singapore, 228510
Contact: Gobinathan Devathasan, FRCP     65-97304401     devathasan@msn.com    
Devathasan Neurology Practice #11-16 MEMC Recruiting
Singapore, Singapore, 228510
Principal Investigator: Devathasan Gobinathan, FRCP MD            
Sponsors and Collaborators
Devathasan Neurology Practice Pte Ltd
Investigators
Study Chair: Weng Kiong Aw Yong, Bsc (QUT) Freelancer Computer Programmer and data control
  More Information

clotbust trial  This link exits the ClinicalTrials.gov site

Study ID Numbers: 02
Study First Received: June 28, 2007
Last Updated: June 28, 2007
ClinicalTrials.gov Identifier: NCT00494689  
Health Authority: Singapore: Health Science Authority;   Canada: University of British Columbia; Dept of Science.

Keywords provided by Devathasan Neurology Practice Pte Ltd:
transcranial sonolysis or monitoring
rapid magnetic stimulation
cerebral ischemia
hydrocephalus
Barthel's index

Study placed in the following topic categories:
Cerebral Infarction
Stroke
Pseudotumor Cerebri
Vascular Diseases
Central Nervous System Diseases
Apraxia
Ischemia
Brain Diseases
Cerebrovascular Disorders
Intracranial Hypertension
Pseudotumor cerebri
Infant, Newborn, Diseases
Brain Ischemia
Hydrocephalus
Hydrocephalus, Normal Pressure
Apraxias
Brain Infarction
Infarction
Hypertension

Additional relevant MeSH terms:
Nervous System Diseases
Cardiovascular Diseases

ClinicalTrials.gov processed this record on January 16, 2009