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Biogenic amine metabolism in tourette syndrome
Author(s) -
Butler Ian J.,
Koslow Stephen H.,
Seifert William E.,
Caprioli Richard M.,
Singer Harvey S.
Publication year - 1979
Publication title -
annals of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.764
H-Index - 296
eISSN - 1531-8249
pISSN - 0364-5134
DOI - 10.1002/ana.410060109
Subject(s) - probenecid , homovanillic acid , biogenic amine , tourette syndrome , serotonin , dopamine , medicine , cerebrospinal fluid , metabolism , endocrinology , 5 hydroxyindoleacetic acid , 3,4 dihydroxyphenylacetic acid , chemistry , psychiatry , receptor
Biogenic amine metabolism in the central nervous system of 9 children with Tourette syndrome was evaluated by quantitation of their metabolites in cerebrospinal fluid by a gas chromatographic/mass spectrometric method. Homovanillic acid (HVA), 5‐hydroxyindoleacetic acid (5‐HIAA), and 3‐methoxy‐4‐hydroxyphenylethylene glycol (MHPG) were measured in CSF before and after oral administration of probenecid. Dopamine metabolism appeared defective, as both baseline and accumulated levels of HVA after probenecid were decreased. Serotonin metabolism also appeared defective in some patients with low baseline and low accumulated levels of 5‐HIAA after probenecid. Taken together with other clinical features of this disease, the results suggest an underlying disorder of dopamine and serotonin metabolism in Tourette syndrome.

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