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Oral gabapentin treatment for symptomatic Heimann-Bielschowsky phenomenon.
Am J Ophthalmol. 2006 Jan; 141(1):221-2.AJ

Abstract

PURPOSE

To describe a patient with symptomatic Heimann-Bielschowsky phenomenon (HBP) treated successfully with oral gabapentin.

DESIGN

Interventional case report.

METHODS

A 57-year-old patient with retinitis pigmentosa had a 12-month history of vertical oscillopsia. The right visual acuity was 20/200 and the left visual acuity was 20/60 with glasses. He had a coarse, slow, pendular, vertical movement of the right eye consistent with Heimann-Bielschowsky phenomenon. His treatment commenced with oral gabapentin with gradual increase in dose to 2400 mg/d. Eye movement recordings were performed before and after treatment.

RESULTS

He became considerably less symptomatic on gabapentin. The right visual acuity improved to 20/80 with glasses. Eye movement recordings confirmed markedly reduced vertical oscillations of the right eye. The patient continues on gabapentin with no side effects and sustained effect.

CONCLUSIONS

The vertical nystagmoid movement in HBP can be considerably reduced and symptoms remarkably improved when treated with oral gabapentin.

Authors+Show Affiliations

Department of Ophthalmology, University Hospitals of Leicester, Leicester, United Kingdom.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16387013

Citation

Rahman, Waheeda, et al. "Oral Gabapentin Treatment for Symptomatic Heimann-Bielschowsky Phenomenon." American Journal of Ophthalmology, vol. 141, no. 1, 2006, pp. 221-2.
Rahman W, Proudlock F, Gottlob I. Oral gabapentin treatment for symptomatic Heimann-Bielschowsky phenomenon. Am J Ophthalmol. 2006;141(1):221-2.
Rahman, W., Proudlock, F., & Gottlob, I. (2006). Oral gabapentin treatment for symptomatic Heimann-Bielschowsky phenomenon. American Journal of Ophthalmology, 141(1), 221-2.
Rahman W, Proudlock F, Gottlob I. Oral Gabapentin Treatment for Symptomatic Heimann-Bielschowsky Phenomenon. Am J Ophthalmol. 2006;141(1):221-2. PubMed PMID: 16387013.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Oral gabapentin treatment for symptomatic Heimann-Bielschowsky phenomenon. AU - Rahman,Waheeda, AU - Proudlock,Frank, AU - Gottlob,Irene, PY - 2005/05/23/received PY - 2005/08/02/revised PY - 2005/08/03/accepted PY - 2006/1/3/pubmed PY - 2006/2/1/medline PY - 2006/1/3/entrez SP - 221 EP - 2 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 141 IS - 1 N2 - PURPOSE: To describe a patient with symptomatic Heimann-Bielschowsky phenomenon (HBP) treated successfully with oral gabapentin. DESIGN: Interventional case report. METHODS: A 57-year-old patient with retinitis pigmentosa had a 12-month history of vertical oscillopsia. The right visual acuity was 20/200 and the left visual acuity was 20/60 with glasses. He had a coarse, slow, pendular, vertical movement of the right eye consistent with Heimann-Bielschowsky phenomenon. His treatment commenced with oral gabapentin with gradual increase in dose to 2400 mg/d. Eye movement recordings were performed before and after treatment. RESULTS: He became considerably less symptomatic on gabapentin. The right visual acuity improved to 20/80 with glasses. Eye movement recordings confirmed markedly reduced vertical oscillations of the right eye. The patient continues on gabapentin with no side effects and sustained effect. CONCLUSIONS: The vertical nystagmoid movement in HBP can be considerably reduced and symptoms remarkably improved when treated with oral gabapentin. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/16387013/Oral_gabapentin_treatment_for_symptomatic_Heimann_Bielschowsky_phenomenon_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(05)00905-0 DB - PRIME DP - Unbound Medicine ER -