Different treatment trials have been published in acquired nystagmus in the last decade; gabapentin and memantine have been found to be efficient in treating pendular nystagmus in Multiple Sclerosis. The effects of treatments are measured on nystagmus velocity, amplitude, frequency and on visual acuity. None of the trials measured a functional visual score or oscillopsia score. The aim of our study is to evaluate the effect of gabapentin and memantine on the mean velocity, amplitude and frequency of pendular nystagmus, as well as on oscillopsia, visual acuity and vision-specific health-related quality of life score, in 10 patients with multiple sclerosis. The primary object is to find out the best variable to evaluate the efficiency of nystagmus treatment and the secondary, to compare the efficiency of both gabapentin and memantine in a common population of patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
10
Patients will be randomly assigned to start on either memantine or gabapentin. For tolerance reasons, each treatment begins with a progressive increasing dose and stops with a progressive decreasing dose. The duration of the period of last dose (8 to 11 days) will be chosen according to the investigator's availability to organize post-tests.
Patients will be randomly assigned to start on either memantine or gabapentin. For tolerance reasons, each treatment begins with a progressive increasing dose and stops with a progressive decreasing dose. The duration of the period of last dose (8 to 11 days) will be chosen according to the investigator's availability to organize post-tests.
Hôpital Neurologique Unité de Neuro-Ophtalmologie
Bron, France
Velocity using eye movement recording
Time frame: at Day17-21
Velocity using eye movement recording
Time frame: at Day34-42
Velocity using eye movement recording
Time frame: at Day64-79
Velocity using eye movement recording
Time frame: at Day81-100
Functional score on questioning
Time frame: at Day17-21, Day34-42, Day64-79, Day81-100
Subjective measure of oscillopsia
Time frame: at Day17-21, Day34-42, Day64-79, Day81-100
Far visual acuity
Time frame: at Day17-21, Day34-42, Day64-79, Day81-100
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