Status:

COMPLETED

Reorganization of Brain Functions in Patients With Cervical Myelopathy Using fMRI and MRS

Lead Sponsor:

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

Collaborating Sponsors:

The Physicians' Services Incorporated Foundation

American Association of Neurological Surgeons

Conditions:

Spinal Cord Diseases

Eligibility:

All Genders

18-75 years

Brief Summary

Decompressive surgery to relieve symptoms of spinal cord compression due to dysfunction, such as arthritis, has proved variable in success. Past research has reported that approximately one-third of s...

Detailed Description

Degenerative arthritis is a universal concomitant of human aging, affecting 51% of the adult population. Arthritis of the spine is the most common cause of acquired spinal cord dysfunction and can man...

Eligibility Criteria

Inclusion

  • All Participants will be
  • between 18 and 75 years of age
  • right handed
  • with normal/corrected hearing and vision
  • native speakers of Canadian or American English
  • must be competent to give consent.
  • Cervical Myelopathy Patients will be:
  • Undergoing a first time cervical decompression for cervical spondylosis causing myelopathy secondary to spinal cord compression which is documented by a diagnostic procedure ( CT and/or MRI ).
  • Spinal cord compression from the cervicomedullary junction to the C7-T1 disc level.
  • Ability and willingness to participate in a follow-up fMRI study at 6 months following surgery.
  • Healthy Control Volunteers will be:
  • Volunteers from the Dept. of Clinical Neurological Sciences

Exclusion

  • Cervical Myelopathy Patients must not:
  • 1\. have any pre-existing medical conditions (e.g. significant renal or hepatic disease)
  • Healthy control volunteers must not:
  • 1\. have a pre-existing diagnosis or history of a neurological disorder.
  • All participants must not:
  • 1\. have any potential magnetic metal fragments in their body except for titanium implants placed at the time of surgery will be excluded. Dental work is non-magnetic and does not require participant exclusion.
  • Participants who fall into the following categories will not be tested in the 4T scanner:
  • claustrophobia
  • pacemaker or other electronic implants
  • being a welder or soldier
  • having been injured by a metallic object that was not removed
  • being pregnant or trying to conceive
  • women of childbearing potential who are not using an effective method of contraception
  • cerebral aneurysm clips.

Key Trial Info

Start Date :

September 1 2008

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

August 1 2012

Estimated Enrollment :

35 Patients enrolled

Trial Details

Trial ID

NCT00447343

Start Date

September 1 2008

End Date

August 1 2012

Last Update

August 28 2017

Active Locations (1)

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1

London Health Sciences Center

London, Ontario, Canada, N6A 5A5