Bilateral ibotenic acid lesions of the anteromedial neostriatum produce neuropathological and behavioral changes in rats that are characterized by locomotor hyperactivity and severe maze learning impairments, which can be viewed as analogous to changes seen in Huntington disease. Grafts of fetal striatal neurons, implanted either into the lesioned striatum or into the denervated globus pallidus, reduced both the learning impairments and the locomotor hyperactivity, probably via different mechanisms. The results demonstrate the capacity of neural implants for functional neuronal replacement and promotion of functional recovery after damage to a maijor telencephalic structure participating in complex cognitive and motoric behaviors.Neurodegenerative diseases in man represent neuropathological conditions where rather selective and anatomically restricted neuronal damage results in characteristic and often severe behavioral deterioration. There is accumulating evidence from experimental work in rodents that intracerebral implants of fetal aminergic neurons at least to some degree can substitute, both anatomically and functionally, for lost intrinsic pathways in the brain. This is based, in particular, on results obtained with grafts of mesencephalic dopamine neurons in rats with lesions that mimic the dopamine deficiency in patients with Parkinson disease (1, 2) and with grafts of basal forebrain cholinergic neurons in rats with lesions that reproduce the cholinergic deficit in patients with dementia of the Alzheimer type (3-5). In these types of experimental lesions the primary damage is confined to such types of neurons, operating with acetylcholine or a monoamine as their transmitter, which normally act as tonic regulatory or level-setting systems in the brain. Hence, it is conceivable that the functional effects of grafted dopaminergic and cholinergic neurons could be mediated via a relatively nonspecific tonic release of the transmitter into their local environment.Huntington chorea is characterized by a massive neuronal degeneration, particularly in the neostriatum, accompanied by motor dyskinesias and progressive mental deterioration. In rats, injections of excitotoxic amino acids, such as kainic acid or ibotenic acid (IA), into the caudate-putamen (CPu) are capable of producing neuropathological and neurochemical changes in the basal ganglia that resemble those seen in Huntington disease (6-8). The behavioral changes seen in rats with excitotoxic neostriatal lesions are, by necessity, only of a correlative nature compared to the human disease. Thus, the rats with lesions do not, for example, exhibit any overt involuntary movements, typically seen in Huntingtonian patients. However, when the excitotoxic lesion involves the anteromedial neostriatum, which is the region most closely corresponding to the head of the caudate nucleus in man, the rats do develop a hyperactivity syndrome combined with substantial impairments in learning and memory (9-13), which can be viewed as analogous to the cardinal beha...