Actively Recruiting

Age: 18Years - 100Years
All Genders
NCT04188522

Imaging Post-Stroke Recovery: Using MEG to Evaluate Cognition

Led by Johns Hopkins University · Updated on 2025-06-10

55

Participants Needed

1

Research Sites

417 weeks

Total Duration

On this page

Sponsors

J

Johns Hopkins University

Lead Sponsor

U

University of Maryland, College Park

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is a study using magnetoencephalography (MEG) to look at recovery in those with minor stroke. The investigators know that these individuals report difficulties in attention, concentration, multi-tasking, energy level, and processing speed that appear to be independent of lesion size or location. The underlying pathophysiology is unclear; however, anecdotally, many individuals are significantly improved by 6 months post-stroke. One hypothesis is that a single lesion, regardless of size, may disrupt the classic neural networks required for cognitive function. The investigators are currently collecting data to better characterize these difficulties and stroke patients' recovery as part of a previously approved recovery study. In this sub-study, the investigators propose to add MEG at 1 and 6 months in a subset of individuals with small: 1) subcortical, and 2) cortical lesions. The investigators will partner with colleagues at the University of Maryland (College Park), who are well experienced with MEG to conduct this research. In addition a control population of age-similar individuals will be recruited for comparison. Cerebral activation patterns of individuals with stroke versus controls will be compared, both across patients with stroke at a given time point, and within subjects from 1 to 6 months to determine the association of abnormal activation with cognitive dysfunction and recovery. \*\*The investigators have recently extended follow-up by adding an additional assessment at 12 months and will enroll additional participants (up to 40 patients with minor stroke, 15 age-similar controls).

CONDITIONS

Official Title

Imaging Post-Stroke Recovery: Using MEG to Evaluate Cognition

Who Can Participate

Age: 18Years - 100Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults (≥18 years) admitted to Bayview Medical Center Neurology
  • Evidence of acute ischemic stroke by CT or MRI (lacunar stroke or branch occlusion M3/A3/P3 or smaller) OR NIH Stroke Scale score ≤ 8 on admission
  • Competent English speaker before stroke (self or family report)
  • Willing to return for follow-up 4-6 weeks post-stroke (+/- 4 weeks)
  • Cognitive deficits present on initial testing (specific to MEG study)
  • Willing to travel twice to University of Maryland for MEG testing (specific to MEG study)
  • Fully independent functionally and able to travel unassisted to University of Maryland (specific to MEG study)
Not Eligible

You will not qualify if you...

  • Primary intracerebral hemorrhage shown by blood on CT or MRI
  • Previous neurological disease such as dementia, multiple sclerosis, or prior symptomatic stroke (incidental asymptomatic lacunar strokes allowed)
  • Uncorrected hearing or vision loss
  • Large vessel occlusion
  • Presence of cardiac pacemaker, intracranial clips, metal implants, or metal near the head causing MEG artifacts (specific to MEG study)
  • Claustrophobia, obesity, or other issues preventing staying in MEG for up to 1 hour (specific to MEG study)
  • For controls: history of stroke, neurological dysfunction like seizures or multiple sclerosis, or psychiatric disease

AI-Screening

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Trial Site Locations

Total: 1 location

1

Johns Hopkins Bayview Medical Center

Baltimore, Maryland, United States, 21210

Actively Recruiting

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Research Team

E

Elisabeth B Marsh, MD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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