Dopaminergic dsyfunction in Tourette syndrome.

Abstract:

:A prospective clinical and biochemical study on the effects of treatment with haloperidol has been performed in seven patients with Tourette syndrome. Pretreatment cerebrospinal fluid levels of homovanillic acid (CSF HVA) were significantly reduce in all patients, whereas 5-hydroxyindoleacetic acid was reduced in only two. With haloperidol treatment, symptoms decreased in all cases (21 to 88%) and clinical improvement was associated with an increased level of CSF HVA, often returning to the normal range. Optimal therapeutic response was found with serum levels of haloperidol between 1 and 4 ng/ml; however, disturbing side effects also occurred within this range. These results support the hypothesis that Tourette syndrome may result from a supersensitivity of dopaminergic receptors.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Singer HS,Butler IJ,Tune LE,Seifert WE Jr,Coyle JT

doi

10.1002/ana.410120408

subject

Has Abstract

pub_date

1982-10-01 00:00:00

pages

361-6

issue

4

eissn

0364-5134

issn

1531-8249

journal_volume

12

pub_type

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