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| ID | Type | Description | Link |
|---|---|---|---|
| ISRCTN47041942 |
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Hypothesis: Trigeminus-evoked somatosensory potentials (TRI-SEP) may be used as an alternative technique to medianus-evoked somatosensory potentials (MED-SEP) in patients undergoing elective carotid surgery.
For CNS-monitoring somatosensory-evoked responses ba electrical stimulation of the contralateral median nerve are established: A reduction of amplitude and a delay in latency may represent a sensible marker of imminent cerebral ischemia. This study will evaluate a new concept by using trigeminal nerve evoked somatosensory evoked potentials in comparison to the established MED-SEP. Beside the comparison of two methods of neuromonitoring, this study will investigate the neurological long-term outcome (90-day evaluation) with different neuropsychological tests for the detection of cognitive deficits.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Patients undergoing carotid surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MED-SEP | Procedure | intraoperative neurophysiological monitoring |
| |
| TRI-SEP |
| Measure | Description | Time Frame |
|---|---|---|
| detection of episodes of cerebral ischemia during carotid surgery | intraoperative, 28 days, and 60 days after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing carotid surgery
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| Name | Affiliation | Role |
|---|---|---|
| Armin R Sablotzki, MD | Klinikum St. Georg, Clinics of Anesthesiology, Critical Care and Pain Therapy | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Klinikum St. Georg, Clinics of Anesthesiology, Critical Care and Pain Therapy | Leipzig | Saxony | 04129 | Germany |
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| ID | Term |
|---|---|
| D002545 | Brain Ischemia |
| D003072 | Cognition Disorders |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D009483 | Neuropsychological Tests |
| ID | Term |
|---|---|
| D011581 | Psychological Tests |
| D004191 | Behavioral Disciplines and Activities |
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| Procedure |
intraoperative neurophysiologic monitoring |
|
| neuropsychological tests | Procedure | neurological short- and longterm outcome |
|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |