Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The knowledge of encephalitis associated with antibodies targeting intracellular antigens, and neuronal surface antibody syndromes has expanded considerably in recent times.
The primary purpose of the investigators protocole is to determine the incidence of anti-neuronal antibodies (blood and CSF) in a population of patients suffering from focal epilepsy of unknown cause to guide the management of these patients.
The investigators hypothesis is that dysimmune encephalitis is more common than is suggested by the current literature, and that sometimes forms of encephalitis dysimmune "at minimum" can be observed only in the form of focal epilepsy without further manifestation associated.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Focal epilepsy of unknown cause | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Focal epilepsy of unknown cause | Biological | Male or female 18-65 years presenting focal epilepsy on the following arguments:
From unknown cause:
Without treatment by benzodiazepines or anti-epileptics first-line monotherapy (excluding benzodiazepines). |
| Measure | Description | Time Frame |
|---|---|---|
| anti-neuronal antibodies | Incidence of seropositive patients for anti-neuronal antibodies in a cohort of patients with focal epilepsy of unknown cause. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| statistically significant differences between people with and without-neuronal antibodies differences | Related to population characteristics: age, sex, ethnicity, handedness, immune dysfunction associated field, psychiatric field associated migraine associated | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Serum analysis:(composite measure) | Directed by a blood test on a peripheral vein: ANA, anti-ENA, anti-DNA, ANCA, anti-TPO, anti-TGO, APL, anti-GAD, anti-transglutaminase / anti-Hu, Yo, Ri, CV2 , amphiphysin, Ma2 / VGKC complex, anti-NMDA-R, anti-AMPA-R, anti-GABA B-R / Other: NFS, CRP, ESR, TSH, PT, APTT | 2 years |
Inclusion Criteria:
Male or female 18-65 years
Presenting focal epilepsy on the following arguments
Having not yet received a CSF analysis
From unknown cause:
Epilepsy that started within a period of two years preceding the study entry (including vegetative symptoms of temporal focal seizures).
Without treatment or as benzodiazepines or taking anti-epileptic first-line monotherapy (excluding benzodiazepines).
Informed consent signed
affiliated with a social security scheme
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| BENOILID Aurélien, MD | Contact | 0388128568 | aurelienbenoilid@gmail.com | |
| DE SEZE Jérôme, MD | Contact |
| Name | Affiliation | Role |
|---|---|---|
| BENOILID Aurélien, MD | not affiliated | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Besançon | Not yet recruiting | Besançon | 25000 | France |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| CSF analysis (composite measure) |
A lumbar puncture is performed under strict aseptic conditions, in the absence cons classic indications (abnormal crushes or platelet count) in hospital, followed by monitoring at least three hours, looking for: ac neurons anti / Finding an oligoclonal distribution (DOC, immunoglobulin synthesis intrathéquale) / WBC and red blood cells, protein level |
| 2 years |
| CHU de Dijon | Not yet recruiting | Dijon | 21079 | France |
|
| CHU de Nancy | Not yet recruiting | Nancy | 54000 | France |
|
| Les Hôpitaux Universitaires de Strasbourg | Recruiting | Strasbourg | 67091 | France |
|
| ID | Term |
|---|---|
| D004827 | Epilepsy |
| D020363 | Limbic Encephalitis |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020805 | Central Nervous System Viral Diseases |
| D002494 | Central Nervous System Infections |
| D007239 | Infections |
| D020361 | Paraneoplastic Syndromes, Nervous System |
| D009423 | Nervous System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D010257 | Paraneoplastic Syndromes |
| D004660 | Encephalitis |
| D019636 | Neurodegenerative Diseases |
| D000090862 | Neuroinflammatory Diseases |
Not provided
Not provided