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| ID | Type | Description | Link |
|---|---|---|---|
| 2014-A01159-38 | Other Identifier | ANSM |
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The main objective of this study is to make a first evaluation of the relationship between metabolic abnormalities objectified by Positron emission tomography with 2-deoxy-2-[fluorine-18]fluoro- D-glucose integrated with computed tomography (PET CT 18 FDH) performed at rest at the onset of symptoms in patients with a first episode of motor conversion disorder and the persistence of a motor disability at 6 months measured by the modified Rankin score (mRS).
The secondary objectives of this study are:
A. To assess whether metabolic abnormalities objectified by PET CT 18 FDH performed at rest at the onset of symptoms may be predictive of persistent disability at 6 months as measured by the EDSS, the NIHSS and WHO status.
B. To assess whether metabolic abnormalities objectified by PET CT 18 FDH performed at rest at 3 months after diagnosis may be predictive of persistent motor disability at 6 months (EDSS, NIHSS, mRS, WHO) C. To search for and characterize any abnormalities of metabolism objectified in the initial PET CT 18 FDH predictive of persistent motor disability at 3 months.
D. To determine if there are persistent metabolic abnormalities 3 months post-diagnosis independently of the clinical course (marker trait).
E. Define the brain areas whose metabolism is often altered in patients with motor conversion disorders.
F. Establish a collection of biological samples from patients for future research studies of prognostic biomarkers of a motor conversion disorder.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study population | The study population consists of patients with paralysis, motor weakness or abnormal movements meeting DSM-IV criteria for motor conversion disorder consulting via the Emergency or Neurology department of participating centers. Intervention: PET CT 18 FDG |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PET CT 18 FDG | Device | Positron emission tomography with 2-deoxy-2-[fluorine-18]fluoro- D-glucose integrated with computed tomography. This intervention is required for the observational needs of the study. |
| Measure | Description | Time Frame |
|---|---|---|
| Presence/absence of a modified Ranking score > 1 | 6 months | |
| Presence/absence of a metabolic anomoly according to PET CT 18 FDG | PET CT 18 FDG = Positron emission tomography with 2-deoxy-2-[fluorine-18]fluoro- D-glucose integrated with computed tomography | Day 0 to Day 15 |
| Measure | Description | Time Frame |
|---|---|---|
| Presence/absence of a metabolic anomoly according to PET CT 18 FDG | 3 months | |
| Modified Rankin Score | 3 months | |
| Modified Rankin Score |
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Inclusion Criteria:
Exclusion Criteria:
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The study population consists of patients with paralysis, motor weakness or abnormal movements meeting DSM-IV criteria for motor conversion disorder consulting via the Emergency or Neurology department of participating centers.
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| Name | Affiliation | Role |
|---|---|---|
| Ismaël Conejero | Centre Hospitalier Universitaire de Nīmes | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU de Montpellier - Hôpital Gui de Chauliac | Montpellier | 34295 | France | |||
| CHRU de Montpellier - Hôpital Lapeyronie |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29252202 | Result | Conejero I, Thouvenot E, Abbar M, Mouchabac S, Courtet P, Olie E. Neuroanatomy of conversion disorder: towards a network approach. Rev Neurosci. 2018 Jun 27;29(4):355-368. doi: 10.1515/revneuro-2017-0041. |
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| ID | Term |
|---|---|
| D003291 | Conversion Disorder |
| ID | Term |
|---|---|
| D013001 | Somatoform Disorders |
| D001523 | Mental Disorders |
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Blood samples will be taken at baseline, 3 months and 6 months.
| 6 months |
| EDSS score | Day 0 to Day 15 |
| EDSS score | 3 months |
| EDSS score | 6 months |
| NIHSS score | Day 0 to Day 15 |
| NIHSS score | 3 months |
| NIHSS score | 6 months |
| MINI questionnaire | Day 0 to Day 15 |
| HAMD scale | Day 0 to Day 15 |
| HAMD scale | 3 months |
| HAMD scale | 6 months |
| HADS scale | Day 0 to Day 15 |
| HADS scale | 3 months |
| HADS scale | 6 months |
| WHO score | 3 months |
| WHO score | 6 months |
| Montpellier |
| 34295 |
| France |
| CHRU de Nîmes - Hôpital Universitaire Carémeau | Nîmes | 30029 | France |