PMID- 20809107 OWN - NLM STAT- MEDLINE DCOM- 20110328 LR - 20211020 IS - 1473-4230 (Electronic) IS - 1473-4222 (Linking) VI - 9 IP - 4 DP - 2010 Dec TI - Difference in the effects of tandospirone on ataxia in various types of spinocerebellar degeneration: an open-label study. PG - 567-70 LID - 10.1007/s12311-010-0199-0 [doi] AB - The aim of this study was to investigate the effects of tandospirone on ataxia in various types of spinocerebellar degeneration (SCD). Fifteen milligram per day of tandospirone was administered to 39 patients with SCD (spinocerebellar atrophy (SCA) 1, five patients; SCA2, six patients; Machado-Joseph disease (MJD), 14 patient; SCA6, five patients; multiple system atrophy-cerebellar type (MSA-C), seven patients; and multiple system atrophy-Parkinson type (MSA-P), two patients). All patients were assessed before and 4 weeks after administration of the drug using the international cooperative ataxia rating scale total score (ARS), total length traveled (TLT) of body stabilometry, and a self-rating depression scale. Statistically, ARS showed a significant difference in MJD (p = 0.005) and SCA6 (p = 0.043). TLT also showed a significant difference in MJD (p = 0.002) and SCA6 (p = 0.043). Eight of 39 patients (SCA1, 1/5; SCA2, 0/6; MJD, 4/14; SCA6, 3/5; MSA-C, 0/7; and MSA-P, 0/2) showed more than a five point reduction in ARS, and 13 of 39 patients (SCA1, 0/5; SCA2, 1/6; MJD, 8/14; SCA6, 4/5; MSA-C, 0/7; and MSA-P, 0/2) showed a reduction of TLT. Our data indicate that the effects of tandospirone on ataxia are different between types of SCD. Therefore, tandospirone is useful for cerebellar ataxia in patients with MJD and SCA6. FAU - Takei, Asako AU - Takei A AD - Hokuyukai Neurology Hospital, Niju-yon-ken 2-2-4-30, Nishi-ku, Sapporo, 063-0802, Japan. atakei@med.hokudai.ac.jp FAU - Hamada, Shinsuke AU - Hamada S FAU - Homma, Sanae AU - Homma S FAU - Hamada, Keiko AU - Hamada K FAU - Tashiro, Kunio AU - Tashiro K FAU - Hamada, Takeshi AU - Hamada T LA - eng PT - Clinical Trial PT - Journal Article PL - United States TA - Cerebellum JT - Cerebellum (London, England) JID - 101089443 RN - 0 (Isoindoles) RN - 0 (Piperazines) RN - 0 (Pyrimidines) RN - 0 (Serotonin Receptor Agonists) RN - 190230I669 (tandospirone) SB - IM MH - Adult MH - Aged MH - Ataxia/*drug therapy/*etiology MH - Depression/chemically induced MH - Female MH - Humans MH - Isoindoles/adverse effects/*therapeutic use MH - Male MH - Middle Aged MH - Piperazines/adverse effects/*therapeutic use MH - Pyrimidines/adverse effects/*therapeutic use MH - Serotonin Receptor Agonists/adverse effects/*therapeutic use MH - Spinocerebellar Degenerations/classification/*complications EDAT- 2010/09/03 06:00 MHDA- 2011/03/29 06:00 CRDT- 2010/09/03 06:00 PHST- 2010/09/03 06:00 [entrez] PHST- 2010/09/03 06:00 [pubmed] PHST- 2011/03/29 06:00 [medline] AID - 10.1007/s12311-010-0199-0 [doi] PST - ppublish SO - Cerebellum. 2010 Dec;9(4):567-70. doi: 10.1007/s12311-010-0199-0.