Multiloci stereotactic transplantation of autologous adrenal medullary tissue to the putamen and caudatum in Parkinson's disease. Technical note

Document Type

Conference Proceeding

Publication Date

1-1-1990

Journal

Stereotactic and Functional Neurosurgery

Volume

54-55

DOI

10.1159/000100223

Keywords

adrenal medulla; caudate nucleus; Parkinson's disease; putamen; stereotactic surgery; tissue transplantation

Abstract

Adrenal to striatum transplants may be effective, but many technical issues are still debated. A procedure whereby a number of grafts were stereotactically placed at the putamen and caudatum is reported. It enables grafting deep nuclei, such as the putamen, the most denervated structure in Parkinson's disease, and allows a wide-spread spatial distribution of multiple grafts within these huge targets, conceivably enhancing the local release of neurotransmitters at the site or in the vicinity of the denervated receptors. It also enables the use of a sizeable volume of tissue, presumably a crucial but as yet unknown factor. Although preliminary, the present data seem to warrant further clinical trials.

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