Huntington's Disease

Neurology

Overview

Definition

Fatal genetic neurodegenerative disorder.

Epidemiology

Varies globally depending on genetics, environment, or exposure.

Etiology & Risk Factors

  • Autosomal dominant CAG trinucleotide repeat expansion in HTT gene.

Clinical Symptoms

  • Chorea (involuntary movements)
  • progressive dementia
  • psychiatric disturbances.

Clinical Approach

Diagnosis

  • Genetic testing (CAG repeats > 39)
  • MRI (caudate atrophy).

Management

  • Symptomatic (Tetrabenazine for chorea)
  • no cure.

Complications

  • Death
  • usually from aspiration pneumonia or suicide.