DECREASED BETA-PHENYLETHYLAMINE IN CSF IN PARKINSONS-DISEASE

Objective-To determine the concentrations of beta-phenylethylamine (PE A) in CSF in patients with Parkinson's disease, and to evaluate the re lation between concentration of PEA in CSF and severity of Parkinson's disease. Methods-Using gas chromatography-chemical ionisation mass sp ectrometry, CSF concentrations of PEA were measured in 23 patients wit h Parkinson's disease (mean age, 64.0 (SD 8.2) years), of whom three w ere at Hoehn and Yahr stage II, 11 were at stage III, and nine were at stage IV. Comparison was made with eight patients with neuropathy (me an age, 57.0 (SD 19.2) years) and 12 controls without neurological dis ease (mean age, 57.6 (SD 4.8) years). Results Concentrations of PEA in CSF in Parkinson's disease were significantly lower (mean 205 (SD 131 ) pg/ml) than in patients with peripheral neuropathy (433 (SD 254) pg/ ml) and controls (387 (SD 194) pg/ml). The concentrations of PEA in CS F correlated negatively with Hoehn and Yahr stage (P<0.01). Conclusion s-There are decreased CSF concentrations of PEA in patients with Parki nson's disease.