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Cited by 358

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Transplantation of fetal dopamine neurons in Parkinson's disease: One‐year clinical and neurophysiological observations in two patients with putaminal implants

Lindvall, Olle, Widner, Håkan, Rehncrona, Stig, Brundin, Patrik, Odin, Per, Gustavii, Björn, Frackowiak, Richard, Leenders, Klaus L., Sawle, Guy, Rothwell, John C., Ourklund, Anders Bj, Marsden, C. David·1992·Annals of Neurology

Abstract

Ventral mesencephalic tissue from aborted human fetuses (age, 6–7 weeks' postconception) was implanted unilaterally into the putamen using stereotaxic surgery in 2 immunosuppressed patients (Patients 3 and 4 in our series) with advanced idiopathic Parkinson's disease. Tissue from 4 fetuses was grafted to each patient. Compared with our previous 2 patients, the following changes in the grafting procedure were introduced: the implantation instrument was thinner, more tissue was placed in the operated structure, and the time between abortion and grafting was shorter. There were no postoperative complications. Both patients showed a gradual and significant amelioration of parkinsonian symptoms (most marked in Patient 3) starting at 6 and 12 weeks after grafting, respectively, reaching maximum stability at approximately 4 to 5 months; patients remained relatively stable thereafter during the 1‐year follow‐up period. Clinical improvement was observed as a reduction of the time spent in the “off” phase and the number of daily “off” periods; a lessening of bradykinesia and rigidity during the “off” phase, mainly but not solely on the side contralateral to the graft; and a prolongation and change in the pattern of the effect of a single dose of L‐dopa. Neurophysiological measurements revealed a more rapid performance of simple and complex arm and hand movements bilaterally, but primarily contralateral to the graft. The results indicate that patients with Parkinson's disease can show significant and sustained improvement of motor function after intrastriatal implantation of fetal dopamine‐rich mesencephalic tissue. The accompanying paper by Sawle and colleagues describes the results of repeated positron emission tomography scans in these patients.

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Metadata

Authors
Lindvall, O., Widner, H., Rehncrona, S., Brundin, P., Odin, P., Gustavii, B., Frackowiak, R., Leenders, K. L., Sawle, G., Rothwell, J. C., Ourklund, A. B., & Marsden, C. D.
Venue
Annals of Neurology
Publisher
Wiley
Published
1992-02
Volume
31
Issue
2
Pages
155-165
ISSN
  • 0364-5134 (ISSN-L)
  • 1531-8249
OpenAlex
W2008001474
Cited by
358
References
30
FWCI
35.23
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Transplantation of fetal dopamine neurons in Parkinson's disease: One‐year clinical and neurophysiological observations in two patients with putaminal implants. https://app.cochat.ai/papers/10.1002/ana.410310206
The paper
Lindvall, O., Widner, H., Rehncrona, S., Brundin, P., Odin, P., Gustavii, B., Frackowiak, R., Leenders, K. L., Sawle, G., Rothwell, J. C., Ourklund, A. B., & Marsden, C. D. (1992). Transplantation of fetal dopamine neurons in Parkinson's disease: One‐year clinical and neurophysiological observations in two patients with putaminal implants. Annals of Neurology. https://doi.org/10.1002/ana.410310206

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