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Huntington's Disease

 

Introduction

Huntington's disease is a progressive, neurodegenerative disease causing uncontrolled physical Huntington disease mental deterioration. Huntingtons disease results from degeneration of brain cells. Specifically affected early in the disease are cells of the basal ganglia, a structure deep in the center of the brain where movement is coordinated.

Causes

HD is inherited in an autosomal dominant manner. The gene responsible for the disease has been located on chromosome number 4. The HD gene is a dominant gene, meaning that only one copy of it is needed to develop the disease. HD affects both males and females. The gene may be inherited from either parent, who will also be affected by the disease.

Symptoms

The earliest signs and symptoms of Huntington's disease often include depression, irritability, anxiety and apathy. The person with HD may become impulsive, aggressive or socially withdrawn.

As the disease progresses, you may develop:

  

  • Forgetfulness and disorganization - Common early symptoms
  • Poor judgment
  • Severe problems with balance and coordination
  • Dementia
  • Difficulty shifting your gaze without moving your head
  • Inability to swallow
  • Problems with abstract thought, reasoning, or problem solving
  • Spatial disorientation
  • Difficulties with sequencing, organizing, or planning
  • Inability to learn new things
  • Memory loss
     

Treatment

 

There is at present no known means of altering the disease process or the fatal outcome. The choreic movements can be controlled by the use of neuroleptic agents, including dopamine receptor blockers such as haloperidol and perphenazine, and presynaptic dopamine depletors such as reserpine. 
 

 
 

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