Outcome Following Intrastriatal Fetal Mesencephalic Grafts for Parkinson's Patients is Directly Related to the Volume of Grafted Tissue

Department

neurology

Document Type

Article

Abstract

The effect of varying the volume of grafted fetal mesencephalic tissue was studied in patients with idiopathic Parkinson's disease in a single- blinded study. Evaluations were performed according to the Core Assessment Program for Intracerebral Transplantation and videotaped both prior to transplantation and in 3-month intervals after transplantation. One group, low-volume grafts (six subjects; mean age, 57.2 years), received ventral mesencephalon grafts from one to two donors with an approximate volume up to 20 mm3, while the second group, high-volume grafts (seven subjects; mean age, 59.5 years), received ventral mesencephalon grafts from three or more donors with an approximate volume of 24 mm3. Both groups of patients demonstrated significant improvement over presurgical baseline scores on all major parameters. The high-volume group had significantly greater improvements on all the UPDRS scores and also better performance on a variety of motor performance tasks over that seen among low-volume patients. These results indicate that variations of fetal graft volume do have an impact on clinical outcome.

Medical Subject Headings

neurology

Publication Date

1997

Publication Title

Experimental Neurology

ISSN

0014-4886

Volume

146

Issue

2

First Page

536

Last Page

545

Digital Object Identifier (DOI)

10.1006/exnr.1997.6577

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