Understanding Huntington's Disease

A Comprehensive Guide to Causes, Symptoms, and Treatment Options

Neurology

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Last updated: Mar 24, 2025

What is Huntington's Disease?

Huntington's disease (HD) is a progressive genetic disorder that causes the breakdown of nerve cells in the brain. This inherited condition leads to deterioration of both physical and mental abilities over time.

Causes and Inheritance

  • Genetic Mutation: HD is caused by a mutation in the HTT gene
  • Inheritance Pattern: Autosomal dominant (only one copy of the mutated gene is needed)
  • 50% Risk: Children of affected parents have a 50% chance of inheriting the condition

Main Symptoms

Physical Symptoms

  • Involuntary jerking or writhing movements (chorea)
  • Muscle problems, including rigidity and contractures
  • Slow or abnormal eye movements
  • Impaired gait, balance, and coordination

Cognitive Symptoms

  • Difficulty organizing, prioritizing, or focusing
  • Lack of flexibility or impulse control
  • Problems with short-term memory
  • Difficulty learning new information

Emotional Symptoms

  • Depression
  • Anxiety
  • Social withdrawal
  • Mood swings

Diagnosis

  • Genetic Testing: DNA analysis to confirm HTT gene mutation
  • Family History: Review of family medical history
  • Neurological Examination: Assessment of motor skills, reflexes, and mental status

Treatment Options

Medication

  • Tetrabenazine for movement control
  • Antidepressants for emotional symptoms
  • Anti-anxiety medications as needed

Supportive Care

  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Nutritional support

Living with Huntington's Disease

  • Regular medical check-ups
  • Support group participation
  • Lifestyle modifications
  • Family planning considerations

Research and Future Prospects

  • Ongoing clinical trials
  • Gene therapy research
  • New treatment approaches under investigation

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