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[眼球震颤的药物治疗]

[Pharmacological treatment of nystagmus].

作者信息

Pieh-Beisse C, Lagrèze W A

机构信息

Universitäts-Augenklinik Freiburg, Killianstr. 5, 79106 Freiburg, Deutschland.

出版信息

Ophthalmologe. 2011 Feb;108(2):178-82. doi: 10.1007/s00347-010-2324-3.

DOI:10.1007/s00347-010-2324-3
PMID:21253746
Abstract

Nystagmus can be associated with strong discomfort due to oscillopsia, blurry vision and dizziness. Since generally no curative treatment methods exist, studies focus on potential pharmaceuticals to dampen the nystagmus. An overview is given on which forms of nystagmus can be treated with what kind of pharmacological substances and their possible mechanism of nystagmus dampening. Controlled studies found gabapentin and memantine to be effective in acquired pendular nystagmus and early-onset idiopathic nystagmus, and an efficacy of 4-aminopyridine in downbeat nystagmus.

摘要

眼球震颤可能会因视振荡、视力模糊和头晕而导致强烈不适。由于一般不存在治愈性治疗方法,研究集中在抑制眼球震颤的潜在药物上。本文综述了哪些类型的眼球震颤可用何种药理物质治疗及其抑制眼球震颤的可能机制。对照研究发现加巴喷丁和美金刚对获得性钟摆型眼球震颤和早发性特发性眼球震颤有效,4-氨基吡啶对下跳性眼球震颤有效。

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[Pharmacological treatment of nystagmus].[眼球震颤的药物治疗]
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The pharmacological treatment of nystagmus: a review.眼球震颤的药物治疗:综述
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本文引用的文献

1
Crossover trial of gabapentin and memantine as treatment for acquired nystagmus.加巴喷丁和盐酸美金刚交叉试验治疗获得性眼球震颤。
Ann Neurol. 2010 May;67(5):676-80. doi: 10.1002/ana.21991.
2
Acquired pendular nystagmus in multiple sclerosis: an examiner-blind cross-over treatment study of memantine and gabapentin.获得性摆动性眼球震颤在多发性硬化症中的研究:美金刚和加巴喷丁的交叉治疗研究。
J Neurol. 2010 Mar;257(3):322-7. doi: 10.1007/s00415-009-5309-x. Epub 2009 Sep 13.
3
Memantine induces reversible neurologic impairment in patients with MS.
美金刚可导致多发性硬化症患者出现可逆性神经功能损害。
Neurology. 2009 May 12;72(19):1630-3. doi: 10.1212/01.wnl.0000342388.73185.80. Epub 2008 Dec 17.
4
4-aminopyridine restores vertical and horizontal neural integrator function in downbeat nystagmus.4-氨基吡啶可恢复下跳性眼球震颤的垂直和水平神经整合功能。
Brain. 2007 Sep;130(Pt 9):2441-51. doi: 10.1093/brain/awm172. Epub 2007 Jul 29.
5
Congenital nystagmus: randomized, controlled, double-masked trial of memantine/gabapentin.先天性眼球震颤:美金刚/加巴喷丁的随机、对照、双盲试验
Ann Neurol. 2007 Feb;61(2):130-8. doi: 10.1002/ana.21065.
6
The effects of gabapentin and memantine in acquired and congenital nystagmus: a retrospective study.加巴喷丁和美金刚对获得性和先天性眼球震颤的影响:一项回顾性研究。
Br J Ophthalmol. 2006 Jul;90(7):839-43. doi: 10.1136/bjo.2005.086322. Epub 2006 Mar 23.
7
Pharmacological advances in the treatment of neuro-otological and eye movement disorders.神经耳科及眼球运动障碍治疗的药理学进展
Curr Opin Neurol. 2006 Feb;19(1):33-40. doi: 10.1097/01.wco.0000196156.00481.e1.
8
Effect of 4-aminopyridine on upbeat and downbeat nystagmus elucidates the mechanism of downbeat nystagmus.4-氨基吡啶对垂直向上和向下眼球震颤的作用阐明了向下眼球震颤的机制。
Ann N Y Acad Sci. 2005 Apr;1039:528-31. doi: 10.1196/annals.1325.060.
9
Current Treatment of Nystagmus.眼球震颤的当前治疗方法。
Curr Treat Options Neurol. 2005 Jan;7(1):69-77. doi: 10.1007/s11940-005-0008-0.
10
4-aminopyridine improves downbeat nystagmus, smooth pursuit, and VOR gain.4-氨基吡啶可改善下跳性眼球震颤、平稳跟踪和前庭眼反射增益。
Neurology. 2004 Apr 13;62(7):1228-9. doi: 10.1212/01.wnl.0000118287.68294.e5.