The main objective of this study is to make a first evaluation of the relationship between metabolic abnormalities objectified by Positron emission tomography with 2-deoxy-2-\[fluorine-18\]fluoro- D-glucose integrated with computed tomography (PET CT 18 FDH) performed at rest at the onset of symptoms in patients with a first episode of motor conversion disorder and the persistence of a motor disability at 6 months measured by the modified Rankin score (mRS).
The secondary objectives of this study are: A. To assess whether metabolic abnormalities objectified by PET CT 18 FDH performed at rest at the onset of symptoms may be predictive of persistent disability at 6 months as measured by the EDSS, the NIHSS and WHO status. B. To assess whether metabolic abnormalities objectified by PET CT 18 FDH performed at rest at 3 months after diagnosis may be predictive of persistent motor disability at 6 months (EDSS, NIHSS, mRS, WHO) C. To search for and characterize any abnormalities of metabolism objectified in the initial PET CT 18 FDH predictive of persistent motor disability at 3 months. D. To determine if there are persistent metabolic abnormalities 3 months post-diagnosis independently of the clinical course (marker trait). E. Define the brain areas whose metabolism is often altered in patients with motor conversion disorders. F. Establish a collection of biological samples from patients for future research studies of prognostic biomarkers of a motor conversion disorder.
Study Type
OBSERVATIONAL
Enrollment
20
Positron emission tomography with 2-deoxy-2-\[fluorine-18\]fluoro- D-glucose integrated with computed tomography. This intervention is required for the observational needs of the study.
CHRU de Montpellier - Hôpital Gui de Chauliac
Montpellier, France
CHRU de Montpellier - Hôpital Lapeyronie
Montpellier, France
CHRU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, France
Presence/absence of a modified Ranking score > 1
Time frame: 6 months
Presence/absence of a metabolic anomoly according to PET CT 18 FDG
PET CT 18 FDG = Positron emission tomography with 2-deoxy-2-\[fluorine-18\]fluoro- D-glucose integrated with computed tomography
Time frame: Day 0 to Day 15
Presence/absence of a metabolic anomoly according to PET CT 18 FDG
Time frame: 3 months
Modified Rankin Score
Time frame: 3 months
Modified Rankin Score
Time frame: 6 months
EDSS score
Time frame: Day 0 to Day 15
EDSS score
Time frame: 3 months
EDSS score
Time frame: 6 months
NIHSS score
Time frame: Day 0 to Day 15
NIHSS score
Time frame: 3 months
NIHSS score
Time frame: 6 months
MINI questionnaire
Time frame: Day 0 to Day 15
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HAMD scale
Time frame: Day 0 to Day 15
HAMD scale
Time frame: 3 months
HAMD scale
Time frame: 6 months
HADS scale
Time frame: Day 0 to Day 15
HADS scale
Time frame: 3 months
HADS scale
Time frame: 6 months
WHO score
Time frame: 3 months
WHO score
Time frame: 6 months