Effect of 4-aminopyridine on upbeat and downbeat nystagmus elucidates the mechanism of downbeat nystagmus

被引:21
|
作者
Glasauer, S [1 ]
Strupp, M [1 ]
Kalla, R [1 ]
Büttner, U [1 ]
Brandt, T [1 ]
机构
[1] Univ Munich, Dept Neurol, Ctr Sensorimotor Res, D-81377 Munich, Germany
来源
CLINICAL AND BASIC OCULOMOTOR RESEARCH: IN HONOR OF DAVID S. ZEE | 2005年 / 1039卷
关键词
patient; cerebellum; potassium channel blocker;
D O I
10.1196/annals.1325.060
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
The potassium channel blocker 4-aminopyridine (4-AP) restored vertical smooth pursuit and gaze holding in light in one patient with upbeat (UBN) and in one with downbeat nystagmus (DBN). Without a visible target, however, 4-AP had no effect on UBN, but DBN vanished. We hypothesize that this difference in the effects of 4-AP, which is known to increase the excitability of cerebellar Purkinje cells, can be attributed to the different lesion sites involved in UBN and DBN.
引用
收藏
页码:528 / 531
页数:4
相关论文
共 50 条
  • [31] DOWNBEAT NYSTAGMUS WITH PHENYTOIN
    BERGER, JR
    KOVACS, AG
    JOURNAL OF CLINICAL NEURO-OPHTHALMOLOGY, 1982, 2 (03): : 209 - 211
  • [32] MONOCULAR DOWNBEAT NYSTAGMUS
    BOGOUSSLAVSKY, J
    REGLI, F
    JOURNAL OF NEUROLOGY, 1985, 232 (02) : 99 - 101
  • [33] Congenital downbeat nystagmus
    Brodsky, MC
    JOURNAL OF PEDIATRIC OPHTHALMOLOGY & STRABISMUS, 1996, 33 (03) : 191 - 193
  • [34] Physical Therapy and Aminopyridine for Downbeat Nystagmus Syndrome: A Case Report
    Cornforth, Elizabeth
    Schmahmann, Jeremy D.
    JOURNAL OF NEUROLOGIC PHYSICAL THERAPY, 2025, 49 (02): : 108 - 113
  • [35] Spontaneous upbeat nystagmus changing to downbeat nystagmus with superior and bilateral gaze in Wernicke's encephalopathy
    Park, Y. S.
    Yoon, W. T.
    Kwon, D. Y.
    MOVEMENT DISORDERS, 2012, 27 : S77 - S77
  • [36] Efficacy of 4-aminopyridine in downbeat nystagmus: A randomized, double-blind, placebo-controlled trial with crossover
    Danchaivijitr, C
    Kalla, R
    Brandt, T
    Kennard, C
    Bronstein, AM
    Strupp, M
    JOURNAL OF THE NEUROLOGICAL SCIENCES, 2005, 238 : S48 - S49
  • [37] ANALYSIS OF NEURO-OTOLOGIC MANIFESTATIONS IN PATIENTS WITH UPBEAT OR DOWNBEAT NYSTAGMUS
    YAMANE, M
    MIZUNO, M
    FUTAKI, T
    ACTA OTO-LARYNGOLOGICA, 1991, : 369 - 370
  • [38] 4-Aminopyridine Improves Lower Urinary Tract Symptoms in a Patient With Benign Prostatic Hyperplasia and Downbeat Nystagmus Syndrome
    Strupp, Michael
    Feil, Katharina
    Bardins, Stanislavs
    Waidelich, Raphaela
    INTERNATIONAL NEUROUROLOGY JOURNAL, 2014, 18 (04) : 221 - 225
  • [39] Comparison of 10-mg Doses of 4-Aminopyridine and 3,4-Diaminopyridine for the Treatment of Downbeat Nystagmus
    Kalla, Roger
    Spiegel, Rainer
    Claassen, Jens
    Bardins, Stanislavs
    Hahn, Ales
    Schneider, Erich
    Rettinger, Nicole
    Glasauer, Stefan
    Brandt, Thomas
    Strupp, Michael
    JOURNAL OF NEURO-OPHTHALMOLOGY, 2011, 31 (04) : 320 - 325
  • [40] UPBEAT AND DOWNBEAT NYSTAGMUS OCCURRING SUCCESSIVELY IN A PATIENT WITH POSTERIOR MEDULLARY HEMORRHAGE
    ROUSSEAUX, M
    DUPARD, T
    LESOIN, F
    BARBASTE, P
    HACHE, JC
    JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1991, 54 (04): : 367 - 369