Article ; Online: Gabapentin Relieves Vertigo of Periodic Vestibulocerebellar Ataxia: 3 Cases and Possible Mechanism.
Movement disorders : official journal of the Movement Disorder Society
2021 Volume 36, Issue 5, Page(s) 1264–1267
Abstract: Objective: The aim of this study was to report relief of optokinetic-triggered vertigo (OKTV) with low-dose gabapentin in three patients with periodic vestibulocerebellar ataxia [episodic ataxia type 4 (EA4); OMIM 606552].: Methods: Clinical ... ...
Abstract | Objective: The aim of this study was to report relief of optokinetic-triggered vertigo (OKTV) with low-dose gabapentin in three patients with periodic vestibulocerebellar ataxia [episodic ataxia type 4 (EA4); OMIM 606552]. Methods: Clinical observations and analysis of video-recorded eye movements were used before and after gabapentin. Results: Gabapentin relieved vertigo of all three treated patients with EA4, particularly during activities that typically would induce vertiginous symptoms. Two patients reported 8-12 hours of sustained relief after the first 100 mg dose. One has benefited from 100-200 mg TID for 7 years. Video analysis of nystagmus revealed improved target tracking on smooth pursuit and a steadier gaze hold. Conclusions: Gabapentin effectively relieved the optokinetic-triggered vertigo in our patients with EA4. Mechanisms are postulated in terms of known tight gabapentin binding to the Purkinje cell voltage-gated calcium channel. The observations may offer insight into this rare disease's neuropathology. © 2021 International Parkinson and Movement Disorder Society. |
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MeSH term(s) | Ataxia ; Gabapentin ; Humans ; Nystagmus, Pathologic/drug therapy ; Vertigo/drug therapy ; Vertigo/etiology |
Chemical Substances | Gabapentin (6CW7F3G59X) |
Language | English |
Publishing date | 2021-01-16 |
Publishing country | United States |
Document type | Case Reports ; Journal Article |
ZDB-ID | 607633-6 |
ISSN | 1531-8257 ; 0885-3185 |
ISSN (online) | 1531-8257 |
ISSN | 0885-3185 |
DOI | 10.1002/mds.28491 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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