“…Positronemission tomography (PET) studies in Lesch-Nyhan disease show reductions in [ 18 F]-DOPA uptake, and in labeling with WIN-35,428, a marker of dopamine transporter, in the basal ganglia and other regions of the brain (Ernst et al, 1996;Wong et al, 1996). Mutations in the gene that codes for the rate-limiting enzyme in dopamine metabolism, tyrosine hydroxylase, also give rise to dystonias (Knappskog et al, 1995), as do mutations within the dopamine D2 receptor gene (myoclonus-dystonia, DYT11, Klein et al, 1999), or polymorphisms within the dopamine D5 receptor gene (Placzek et al, 2001). …”