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Lancet: Nigral endothelial dysfunction, homocysteine, and Parkinson's disease


Lancet: Volume 354, Number 9173  10 July 1999

Nigral endothelial dysfunction, homocysteine, and Parkinson's disease

Thomas Müller, Brigitte Werne, Brian Fowler, Wilfried Kuhn

We found increased levels of atherosclerosis-inducing homocysteine in
parkinsonian patients with long-term application of levodopa compared with
previously untreated parkinsonian patients and controls. We conclude that
antiparkinsonian treatment with levodopa promotes occurrence of vascular
disease in Parkinson's disease.
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Department of Neurology, St Josef Hospital, Ruhr University Bochum,
Gudrunstrasse 56, 44791 Bochum, Germany (T Müller MD, B Werne MD, W Kuhn
MD); and University Children's hospital, Basel, Switzerland (B Fowler MD)
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Correspondence to: Dr Thomas Müller (e-mail:
Thomas.Mueller@xxxxxxxxxxxxxxxxxx)


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