Parkin gene mutations cause a form of early-onset autosomal recessive PD wi
th neuronal loss in the substantia nigra and no Lewy bodies. The authors pr
esent a PET [F-18]-dopa study of one familial and two sporadic cases with j
uvenile-onset PD resulting from parkin gene mutations. They found a profoun
d decrease of [F-18]-dopa uptake, representing 28% of putamen and 44% of ca
udate nucleus control subject values. PD caused by parkin gene mutations is
distinct from idiopathic PD on molecular grounds but has similar clinical
and PET findings.