最准的六合彩论坛

XClose

最准的六合彩论坛 News

Home
Menu

First UK trial of Deep Brain Stimulation for children with epilepsy begins

24 June 2024

A teenager who is the first patient to take part in a 最准的六合彩论坛-sponsored clinical trial to use deep brain stimulation (DBS) to treat epilepsy has seen his daytime seizures reduce by 80%.

Oran on a bike

Oran, who had been having severe epileptic seizures for eight years and often needed resuscitation, was the first child in the UK to have this device implanted at Great Ormond Street Hospital in October 2023, when he was 12 years old. Now eight months on, his seizures have dramatically reduced in frequency and severity thanks to the device.

The rechargeable device is mounted onto the skull and is attached to electrodes deep in the brain to reduce seizure activity. This is the first UK clinical trial measuring this type of treatment for children with epilepsy. The CADET pilot (Children鈥檚 Adaptive Deep brain stimulation for Epilepsy Trial) will now recruit three additional patients with Lennox-Gastaut syndrome, which is funded by the Royal Academy of Engineering, before 22 patients take part in the full trial, which is being funded by GOSH Charity and LifeArc. The study is sponsored by 最准的六合彩论坛.

Martin Tisdall, Honorary Associate Professor at 最准的六合彩论坛 and Consultant Paediatric Neurosurgeon at GOSH, said: 鈥淓very single day we see the life-threatening and life-limiting impacts of uncontrollable epilepsy. It can make school, hobbies or even just watching a favourite TV show utterly impossible.

鈥淔or Oran and his family, epilepsy completely changed their lives and so to see him riding a horse and getting his independence back is absolutely astounding. We couldn鈥檛 be happier to be part of their journey.听

鈥淒eep brain stimulation brings us closer than ever before to stopping epileptic seizures for patients who have very limited effective treatment options. We are excited to build the evidence base to demonstrate the ability of deep brain stimulation to treat paediatric epilepsy and hope in years to come it will be a standard treatment we can offer.鈥澨

Deep Brain Stimulation (DBS) is a treatment involving surgery to insert a small device which stimulates specific parts of the brain.

Unlike other DBS devices which are mounted on the chest with wires running up the neck to the brain, this device is mounted on the skull meaning the leads are less likely to break or erode as the child grows.

This device is also rechargeable through wearable headphones, which can be used while watching a video or interacting with a tablet. This also means it does not require surgery to replace it every three to five years.

DBS surgery taking place

Lead engineer, Professor Tim Denison (University of Oxford and Royal Academy of Engineering Chair in Emerging Technologies), said: 鈥淥ur mission is to design pioneering research systems for exploring the treatment of intractable health conditions such as paediatric epilepsy. Oran is the first child in the world to receive this device and we are extremely pleased that it has had such a positive benefit for him and his family.鈥

The device targets the thalamus, which is a hub for electrical signals in the brain. It is hoped that the device will block electrical pathways and consequently stop seizures from spreading. The device also has settings for optimisation towards seizure patterns, which although not utilised in this trial, could be used in the future for patients with LGS.听听

The CADET Pilot is funded by the Royal Academy of Engineering and sponsored by 最准的六合彩论坛. It is a collaboration between 最准的六合彩论坛, GOSH, King鈥檚 College London, the University of Oxford and a UK-based company, Amber Therapeutics.

The second phase of the trial will be jointly funded through GOSH Charity and LifeArc鈥檚 Translational Research Accelerator Grants.

Oran鈥檚 story

Oran鈥檚 seizures started two weeks after his third birthday and up until the trial he hadn鈥檛 had a single day without a seizure.

Many of his family all have a mutation in the SCNIB gene and have all dealt with seizures and epilepsy but all now have control of their seizures.

Unfortunately, Oran鈥檚 epilepsy became more severe, and often meant he stopped breathing and needed resuscitation. This means Oran needed round-the-clock care, as seizures could happen at any time of day, and he was at a significantly increased risk of Sudden Unexpected Death in Epilepsy (SUDEP).听

Oran鈥檚 Mum Justine said: 鈥淏efore the seizures began Oran was hitting all his milestones but as seizures became more severe, we lost more and more of Oran. From being a happy, energetic three-year-old, he struggled to engage in the world due to his medication and seizures 鈥 but he has still got his sense of humour.

We鈥檝e tried everything, but this is the first real shot we鈥檝e been given in years, there has been no 鈥榳hat next鈥 until now.

鈥淯nless somebody takes the first step on a trial like this, there is never going to be a better and there has to be a better for our family.鈥

Oran had surgery in October 2023 to insert the device and once he had recovered from the procedure the device was 鈥渟witched-on鈥, delivering constant electrical stimulation to Oran鈥檚 brain. Since then Oran and his family鈥檚 life has completely changed.

Oran鈥檚 Mum Justine said: 鈥淲e鈥檝e been switched on since December and we鈥檝e seen a big improvement, seizures have reduced and are less severe. That鈥檚 been great but the quality of life improvement has been invaluable for Oran.听

鈥淗e鈥檚 a lot more chatty, he鈥檚 more engaged. He鈥檚 turned 13 and I definitely now have a teenager - he鈥檚 happy to tell me no. But that adds to his quality of life, when he can express himself better.听

鈥淭he team really do have your back. We never felt alone, from last August [when we joined the trial]. We were made to feel part of the team and so was Oran.

鈥淭he future looks hopeful which I wouldn鈥檛 have dreamed of saying six months ago. For Oran, having hope brings excitement. It makes the future brighter and more attainable even. I鈥檓 really pleased that Oran gets to experience that.鈥澨

Links

Image

  • Oran on a bike. Credit: GOSH
  • DBS surgery. Credit: GOSH

Media contact听

Poppy Tombs听

E: p.tombs听[at] ucl.ac.uk