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NEUROLOGY 1985;35:1742
© 1985 American Academy of Neurology

Ventricular fluid somatostatin concentration decreases in childhood-onset dystonia

Leon J. Thal, MD, Nansie S. Sharpless, PhD, Daniel Rosenbaum, MD, Peter Davies, PhD, Ismail M. Amin, MD and Joseph M. Waltz, MD

From the Departments of Neurology (Drs. Thal, Sharpless, and Rosenbaum), Psychiatry (Dr. Sharpless), and Pathology (Dr. Davies), Albert Einstein College of Medicine, Bronx, NY; the Center for Physiological Neurosurgery at Westchester County Medical Center (Dr. Amin), Valhalla, NY; and the Department of Neurological Surgery (Dr. Waltz), St. Barnabas Hospital, Bronx, NY.

Somatostatin was measured in CSF from individuals with a variety of neurologic diseases. In ventricular CSF, somatostatin concentration was significantly lower in individuals with childhood-onset dystonia than in individuals with other forms of dystonia or with other disorders. Severity of childhood dystonia correlated with somatostatin concentration, suggesting a progressive dysfunction of somatostatin-containing neurons with increasing disease severity. There were no significant differences in somatostatin concentration in lumbar CSF. Multiple forms of immunoreactive somatostatin were found in a pool of lumbar CSF from normal individuals. Labeled somatostatin administered intra-arterially to rats failed to cross the blood-brain barrier.

Address correspondence and reprint requests to Dr. Thal, Chief of Neurology (127), San Diego VA Medical Center, 3350 La Jolla Village Drive, La Jolla, CA 92161.

Supported by a grant from the Dystonia Medical Research Foundation and by NIH grants NS09649 and AG02478.

Accepted for publication April 3, 1985







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