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| Name | Class |
|---|---|
| Tianjin University | OTHER |
| Jilin University | OTHER |
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The research focuses on establishing a system for validating the effectiveness of key technologies for targeted combined non-invasive interventions in awakening consciousness.
Analyzed the EEG activity and brain network changes before and after stimulation by TMS stimulation of key brain regions, and correlated them with brain function. To verify the "time-frequency-space" neural mechanism of consciousness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Real rTMS group | Experimental | True rTMS stimulation: 10Hz, intensity: 90% RMT, duration: 10s, interval: 30s, stimulation cycle: 1 time/day, treatment duration: 10 days; |
|
| Sham rTMS group | Placebo Comparator | sham stimulation group : intensity :0; other parameters are the same as true rTMS stimulation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transcranial magnetic stimulation | Device | Transcranial magnetic stimulation |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Coma recovery scale-revised(CRS-R) | CRS-R scale includes 6 dimensions such as audiovisual, arousal level, verbal response, motor and communication, scoring 0 to 23, the higher the score the better the neurological function, and each score reflects the presence or absence of the evaluated person and the strength of consciousness | Assessment within 24 hours before, and 1 hour after TMS treatment |
| Change from the p300 in electroencephalogram | Assessment the p300 in event related potential(ERP) | Assessment within 24 hours before, and 1 hour after TMS treatment |
| Change from resting-state in electroencephalogram | Assessment the spectral power and coherence by in resting-state EEG | Assessment within 24 hours before, and 1 hour after TMS treatment |
| Change from TEP in electroencephalogram | Assessment the TMS Evoked Potential(TEP) | Assessment within 24 hours before, and 1 hour after TMS treatment |
| Change from PCI in electroencephalogram | Assessment the perturbational complexity index(PCI) in TMS-EEG | Assessment within 24 hours before, and 1 hour after TMS treatment |
| Change from ROI in neuroimage techniques-PET | The distribution of 18F-FDG in the brain was analyzed according to the imaging situation, and the brain regions of interest (ROI) were outlined, and the uptake of 18F-deoxyglucose (FDG) in the patients was observed according to the brain ROI. | Assessment within 24 hours before ,and 1 hour after TMS treatment |
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Admission criteria for patients with prolonged disorders of consciousness (Total 200) Inclusion Criteria:(1)Age 14-80 years;(2)In accordance with the diagnostic criteria of unresponsive arousal syndrome or minimally conscious state by international research;(3)Brain Trauma, stroke and hypoxic-ischemic encephalopathy lead to disturbance of consciousness;(4) right-handedï¼›(5)The patient's family members signed the informed consent form; Exclusion Criteria:(1)The history of mental illness and a history of hearing impairment;(2)Intracranial arterial clamp, pacemaker and other metal implants; (3)During the experiment, sedatives and other drugs that affect the excitability of the cortex;(4)The presence of uncontrolled seizures or involuntary movements;
Admission criteria for patients with acute disorders of consciousness(Total 300) Inclusion Criteria:(1)Age 14-60 years;(2)Meets diagnostic criteria for coma recognized in international studies;(3)the GCS score was less than 8; (4)Brain Trauma, stroke and hypoxic-ischemic encephalopathy lead to disturbance of consciousness;(5) right-handed;(6)The patient's family members signed the informed consent form; Exclusion Criteria:(1)The history of mental illness and a history of hearing impairment;(2)Intracranial arterial clamp, pacemaker and other metal implants; (3)During the experiment, sedatives and other drugs that affect the excitability of the cortex;(4)The presence of uncontrolled seizures or involuntary movements; Admission criteria for patients with acute disorders of consciousness;(5)No spontaneous breathing;(6)Status Epilepticus;(7)Need emergency neurosurgical treatment can not cooperate with the examination;
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xuan Wu hospitial, capical medical university | Beijing | China |
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| Sham Transcranial magnetic stimulation |
| Device |
Sham Transcranial magnetic stimulation |
|
| ID | Term |
|---|---|
| D003244 | Consciousness Disorders |
| ID | Term |
|---|---|
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D050781 | Transcranial Magnetic Stimulation |
| ID | Term |
|---|---|
| D055909 | Magnetic Field Therapy |
| D013812 | Therapeutics |
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