Homovanillic Acid, Random Urine - HVA (Homovanillic Acid) is a metabolite of the biogenic amine, Dopamine. Monitoring of HVA levels is useful in confirming Parkinsonism, monitoring therapeutic responses to L-DOPA treatment, and in combination with VMA determinations, diagnosing persons afflicted with neuroblastoma, pheochromocytoma or other "neural crest" tumors.