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J Neurol Neurosurg Psychiatry. Published Online First: 20 March 2008. doi:10.1136/jnnp.2007.142380
Copyright © 2008 by the BMJ Publishing Group Ltd.

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Short reports

Long term clinical and PET outcome of foetal striatal transplantation in Huntington's disease

Iris Reuter 1, Yen F Tai 2, Nicola Pavese 2, K Ray Chaudhuri 1, Sarah L Mason 3, Charles E Polkey 1, Chris Clough 1, David J Brooks 2, Roger A Barker 3 and Paola Piccini 2*

1 Academic Department of Neuroscience, Kings College Hospital, London, United Kingdom
2 MRC Clinical Sciences Centre, Imperial College London, Hammermsith Hospital, London, United Kingdom
3 Cambridge Centre for Brain Repair and Department of Neurology, United Kingdom

* To whom correspondence should be addressed. E-mail: paola.piccini{at}imperial.ac.uk.

Accepted 10 February 2008


*  Abstract

Two patients with moderate Huntington’s disease (HD) received bilateral foetal striatal allografts. One patient demonstrated, for the first time, increased striatal D2-receptor binding evident with 11C-raclopride PET and prolonged clinical improvement over five years, suggesting long-term survival and efficacy of the graft. The other patient did not improve clinically or radiologically. Our results indicate that striatal transplantation in HD may be beneficial, but further studies are needed to confirm this.








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