Table 2.
Patient | Initial UHDRS motor score | Second UHDRS motor score | Valproic acid (mg/day) | Valproic acid serum level (μg/ml) | Mood stabiliza-tion | Improve-ment of mobility and manual dexterity | Changes in co-medication in mg |
Case 1 | 80 | 72 | 900 | 30 | +++ | + | T100 CBZ900 MEL37.5 TE⇔, LO⇔ CL25 |
Case 2 | 65 | 33 | 1200 | 87 | - | +++ | R⇔ |
Case 3* | 79 | 61 | 1800 | 59 | + | + | T100 CL44 CLO0.5 LEV1000 TE⇔ CBZ400 |
Case 3* | 84 | 74 | 2700 | 43 | ++ | ++ | T300 TE25 CLO0.5 CL⇔ CBZ400 |
Case 4 | 56 | 56 | 300 | (ND) | - | - | T⇔, TE⇔, LO⇔, OX⇔, HAL⇔ |
Case 5 | 72 | 66 | 900 | 73 | ++ | + | T⇔, HAL⇔ |
Case 6 | 74 | 60 | 1050 | 43 | +++ | ++ | T150 TE25 S200 Q⇔ |
Case 7 | 57 | 50 | 1950 | 84 | + | +++ | T300 LO1.5 |
Case 8 | 91 | 70 | 1350 | 56 | ++ | ++ | T50 LO⇔, Q⇔, MEL⇔ |
Clinical data and co-medication before (initial UHDRS motor score) and after (second UHDRS motor score) treatment with valproic acid. ND = no data; Intensity: - = no, + = mild, ++ = moderate, +++ = very good. Medication: T = Tiaprid, TE = Tetrabenazine, CBZ = Carbamazepine, CL = Clozapine, CLO = Clonazepam, MEL = Melperone, LO = Lorazepam, R = Rilutek, LEV = Levetiracetam, OX = Oxazepam, HAL = Haloperidol, S = Sulpride, Q = Quetiapin. Signs: Increase = , decrease = no change = ⇔. One patient (*) was treated twice with an increased dose of valproic acid within a 4 year period, see text.