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Correspondence: When an article is eligible for submission of Correspondence, a link to the response form is available within the full-text article. You must be a current subscriber who has activated the online portion of your subscription in order to send a Correspondence. Any reader can read published Correspondence.

Correspondence to:

ARTICLES:
R. A. Hauser, S. Furtado, C. R. Cimino, H. Delgado, S. Eichler, S. Schwartz, D. Scott, G. M. Nauert, E. Soety, V. Sossi, D. A. Holt, P. R. Sanberg, A. J. Stoessl, and T. B. Freeman
Bilateral human fetal striatal transplantation in Huntington’s disease
Neurology 2002; 58: 687-695 [Abstract] [Full text] [PDF]
*Correspondence:
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Correspondence published:

[Read Correspondence] Editor's note
Robert C. Griggs   (4 April 2002)
[Read Correspondence] Reply to Letter to the Editor
J. Timothy Greenamyre, Ira Shoulson University of Rochester Rochester NY   (4 April 2002)
[Read Correspondence] Bilateral human fetal striatal transplantation in Huntington’s disease
Robert A Hauser, Paul R. Sanberg, A Jon. Stoessl, and Thomas B. Freeman   (4 April 2002)

Editor's note 4 April 2002
Previous Correspondence  Top
Robert C. Griggs
Neurology Journal Editorial Office Rochester NY

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Re: Editor's note

neuro_journal{at}urmc.rochester.edu Robert C. Griggs

Inadvertently, the Neurology office did not send the final accepted version of the Hauser et al. paper to Drs. Greenamyre and Shoulson. Thus their editorial criticized statements that were no longer part of the published paper.

We apologize to Dr. Hauser et al. and Drs. Greenamyre and Shoulson for the error.

Reply to Letter to the Editor 4 April 2002
Previous Correspondence Next Correspondence Top
J. Timothy Greenamyre
Emory University Atlanta GA,
Ira Shoulson University of Rochester Rochester NY

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Re: Reply to Letter to the Editor

jgreena{at}emory.edu J. Timothy Greenamyre, et al.

It is unfortunate that we did not have the opportunity to see the final accepted version of the report by Hauser et al. who apparently took the reviewers' comments to heart and toned down their original conclusion, which we called "a stretch". We agree with Hauser et al. that the final published version presents a more balanced description of their results.

Bilateral human fetal striatal transplantation in Huntington’s disease 4 April 2002
 Next Correspondence Top
Robert A Hauser
Tampa General Healthcare Tampa FL,
Paul R. Sanberg, A Jon. Stoessl, and Thomas B. Freeman

Send Correspondence to journal:
Re: Bilateral human fetal striatal transplantation in Huntington’s disease

rhauser{at}hsc.usf.edu Robert A Hauser, et al.

Referring to our report, "Bilateral human fetal striatal transplantation in Huntington's disease," [1] Greenamyre and Shoulson [2] suggest that we concluded that "a lack of significant worsening might reflect clinical benefit in a progressive neurodegenerative disease" and state that "this conclusion is a stretch." However, regarding our study, we indicated that "we did not definitively demonstrate a lack of significant worsening owing to the small number of subjects and the open label design of the study. We also cannot exclude the influence of random chance, bias, or placebo effects." Our study was intended to evaluate feasibility and safety, and was not designed to definitively assess efficacy. We concluded that transplantation of human fetal striatal cells is feasible and survival of transplanted cells was demonstrated, but patients with moderately advanced Huntington's disease are at risk for subdural hemorrhage after transplantation surgery. We believe that our published manuscript provides a fair and balanced description of our observations and agree with the editorialists that we need better treatments for this devastating disease.

References:

1) Hauser RA, Furtado S, Cimino CR, et al. Bilateral human fetal striatal transplantation in Huntington's disease. Neurology 2002;58:687- 695.

2) Greenamyre JT, Shoulson I. We need something better, and we need it now: Fetal striatal transplantation in Huntington's disease? Neurology 2002;58:675-676.


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