Clinical studies report symptomatic benefit in most fetal neurotransplantat
ion treated Parkinson's disease patients. The underlying mechanism is incom
pletely explained. We investigated whether neural connections between host
and transplanted tissue are established. Two Parkinson's disease patients w
ith clinically excellent outcome after transplantation were studied with fu
nctional magnetic resonance imaging. A repetitive motor task that provided
robust stimulation in the contralateral putamen in volunteers activated gra
ft bearing regions of putamen in patients. In response to contralateral mot
or tasks, activation was recorded consistently in left putamen in patient 1
and in right putamen in patient 2. Functional magnetic resonance imaging s
uggests that neuronal rewiring contributes to the functioning of neurotrans
plants in vivo in humans. (C) 1999 Academic Press.