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Autologous transplantation of adrenal medulla in Parkinson's disease. 18-month results.

AbstractEighteen of 19 patients who underwent autologous adrenal medullary transplantation to the right caudate nucleus have been followed up for 18 months. During the course of this study, a statistically significant improvement was noted in percent "on" time, percent "on" time without dyskinesia, activity of daily living (ADL) scores during the "on" stages, and ADL, motor, and Schwab-England scores during the "off" stages. Benefits tended to be maximal at 6 months and to gradually lessen thereafter, although statistically significant improvement in comparison with baseline was still present at 18 months for ADL, motor, and Hoehn-Yahr scores during the "off" stages. Almost all parameters had deteriorated by 18 months compared with 12 months, including those remaining significantly improved in comparison with baseline. These patterns were similar for each of the three participating centers. Complications were largely restricted to the perioperative period.
AuthorsC W Olanow, W Koller, C G Goetz, G T Stebbins, D W Cahill, L L Gauger, R Morantz, R D Penn, C M Tanner, H L Klawans (Affiliation: Department of Neurology, University of South Florida, Tampa 33606.)
JournalArchives of neurology (Arch Neurol) Vol. 47 Issue 12 Pg. 1286-9 (Dec 1990) ISSN: 0003-9942 UNITED STATES
PMID2252446 (Publication Type: Journal Article)
Topics
  • Adrenal Medulla (transplantation)
  • Caudate Nucleus (surgery)
  • Follow-Up Studies
  • Humans
  • Parkinson Disease (physiopathology, surgery)
  • Postoperative Complications
  • Transplantation, Autologous