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  • Title: A controlled study of oral vigabatrin (gamma-vinyl GABA) in patients with cerebellar ataxia.
    Author: Bonnet AM, Esteguy M, Tell G, Schechter PJ, Hardenberg J, Agid Y.
    Journal: Can J Neurol Sci; 1986 Nov; 13(4):331-3. PubMed ID: 3465425.
    Abstract:
    Vigabatrin (gamma-vinyl GABA; GVG), an irreversible inhibitor of GABA-transaminase, at a daily dose of 2-4 g, and a placebo were each administered orally for 4 months to 14 patients with cerebellar ataxia (9 with Friedreich's ataxia, 5 with olivopontocerebellar atrophy), in a double-blind, placebo-controlled crossover study. For the group as a whole, there was no significant difference between the GVG and placebo periods in any of the parameters of cerebellar symptomatology measured. Individually, one patient showed some improvement after 3 months of treatment with 2 g/day GVG. Tolerance to 4 g/day GVG was poor, whereas 2 g/day was well tolerated. The results suggest that agents which increase central GABA concentrations are not likely to be of benefit to patients with Friedreich's ataxia or olivopontocerebellar atrophy.
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