RT Journal Article SR Electronic T1 Pattern of dopaminergic loss in the striatum of humans with MPTP induced parkinsonism JF Journal of Neurology, Neurosurgery & Psychiatry JO J Neurol Neurosurg Psychiatry FD BMJ Publishing Group Ltd SP 313 OP 316 DO 10.1136/jnnp.68.3.313 VO 68 IS 3 A1 Barry J Snow A1 Francois J G Vingerhoets A1 J William Langston A1 James W Tetrud A1 Vesna Sossi A1 Donald B Calne YR 2000 UL http://jnnp.bmj.com/content/68/3/313.abstract AB OBJECTIVES To examine the distribution of striatal dopaminergic function in humans with parkinsonism induced by 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) to determine if there is a caudate-putamen gradient as is seen in idiopathic Parkinson's disease. METHODS We scanned nine humans exposed to MPTP with parkinsonism ranging from minimal to severe using [18F]fluorodopa (FD) and high resolution PET. The results were compared with those of 10 patients with Parkinson's disease and six normal subjects. RESULTS In the MPTP group there was an equal degree of reduction of dopaminergic function in the caudate and putamen. This was different from the greater putaminal than caudate loss in Parkinson's disease (p<0.001). CONCLUSIONS Parkinson's disease is not caused by transient exposure to MPTP.