Huntington's disease history and symptoms: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Huntington's disease}}
{{Huntington's disease}}
{{CMG}}
{{CMG}} {{AE}} {{SAH}}
==Overview==
==Overview==
== History and Symptoms ==
== History and Symptoms ==
Line 7: Line 7:


'''Physicals'''
'''Physicals'''
* Chorea movements:  
*Dementia
** Jerky  
*Chorea movements:  
** random
**Jerky movements
** Uncontrollable movements  
**Uncontrollable movements  
*** Although some exhibit very slow movement and stiffness  
**Although some exhibit very slow movement and stiffness  
* Loss of determination  
*Loss of determination  
* Speaking is impaired with slurred words and uncontrollable movements of the mouth
*Speaking is impaired with slurred words and uncontrollable movements of the mouth
* Eating and mobility are extremely difficult if not impossible, and full-time care is required.
*Eating and mobility are extremely difficult if not impossible, and full-time care is required.


'''Cognitive''' :  Abilities affected are;  
'''Cognitive''' :  Abilities affected are;  
* [[Executive system|Executive function]]  
*[[Executive system|Executive function]]  
* Planning; cognitive flexibility  
*Planning; cognitive flexibility  
* Rule acquisition
*Rule acquisition
* Initiating appropriate actions
*Initiating appropriate actions
* Inhibiting inappropriate actions
*Inhibiting inappropriate actions
* Slurring of the words and some uncontrollable movement of the lips
*Slurring of the words and some uncontrollable movement of the lips
* [[Perceptual]] and [[spatial]] skills of self and surrounding environment
*[[Perceptual]] and [[spatial]] skills of self and surrounding environment
* Ability to learn new [[skills]], depending on the affected parts of the brain.
*Ability to learn new [[skills]], depending on the affected parts of the brain.


'''Psychopathological''' : Psychopathological symptoms vary more than cognitive and physical symptoms, and may include  
'''Psychopathological''' : Psychopathological symptoms vary more than cognitive and physical symptoms, and may include  
* [[Anxiety]]
*[[Anxiety]]
* [[Clinical depression|Depression]]
*[[Clinical depression|Depression]]
* [[Compulsion|Compulsivity]] which can cause [[addictions]] such as [[alcoholism]] and [[gambling]], or [[hypersexuality]].
* [[Compulsion|Compulsivity]] which can cause [[addictions]] such as [[alcoholism]] and [[gambling]], or [[hypersexuality]].
* Unable to recognize expressions of [[disgust]] in others and also don't show reactions of disgust to foul odors or tastes.<ref>Mitchell IJ, Heims H, Neville EA, Rickards H. [http://www.neuro.psychiatryonline.org/cgi/content/full/17/1/119 Huntington's disease patients show impaired perception of disgust in the gustatory and olfactory modalities.] ''Journal of Neuropsychiatry and Clinical Neuroscience'', 17:119-121, February 2005. PMID 15746492</ref> The inability to recognize disgust in others appears in carriers of the Huntington gene before symptoms are manifest.<ref>Sprengelmeyer R, Schroeder U, Young AW, Epplen JT. "Disgust in pre-clinical Huntington's disease: a longitudinal study." ''Neuropsychologia.'' 2006;44(4):518-33. Epub 2005 August 11. PMID 16098998</ref> A number of related studies have been published.<ref>[http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&term=%22Huntington+Disease%22%5BMAJR%5D+disgust PubMed search for "Huntington's disease" and "disgust"]</ref>
* Unable to recognize expressions of [[disgust]] in others and also don't show reactions of disgust to foul odors or tastes.<ref>Mitchell IJ, Heims H, Neville EA, Rickards H. [http://www.neuro.psychiatryonline.org/cgi/content/full/17/1/119 Huntington's disease patients show impaired perception of disgust in the gustatory and olfactory modalities.] ''Journal of Neuropsychiatry and Clinical Neuroscience'', 17:119-121, February 2005. PMID 15746492</ref> The inability to recognize disgust in others appears in carriers of the Huntington gene before symptoms are manifest.<ref>Sprengelmeyer R, Schroeder U, Young AW, Epplen JT. "Disgust in pre-clinical Huntington's disease: a longitudinal study." ''Neuropsychologia.'' 2006;44(4):518-33. Epub 2005 August 11. PMID 16098998</ref> A number of related studies have been published.<ref>[http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&term=%22Huntington+Disease%22%5BMAJR%5D+disgust PubMed search for "Huntington's disease" and "disgust"]</ref>

Revision as of 21:04, 5 September 2018

Huntington's disease Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Huntington's disease from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Neurocognitive Disorder Due to Hungtington's Disease

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Huntington's disease history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Huntington's disease history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Huntington's disease history and symptoms

CDC on Huntington's disease history and symptoms

Huntington's disease history and symptoms in the news

Blogs on Huntington's disease history and symptoms

Directions to Hospitals Treating Huntington's disease

Risk calculators and risk factors for Huntington's disease history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Syed Ahsan Hussain, M.D.[2]

Overview

History and Symptoms

Although there is no sudden loss of abilities or exhibition of symptoms, there is a progressive decline.

Physicals

  • Dementia
  • Chorea movements:
    • Jerky movements
    • Uncontrollable movements
    • Although some exhibit very slow movement and stiffness
  • Loss of determination
  • Speaking is impaired with slurred words and uncontrollable movements of the mouth
  • Eating and mobility are extremely difficult if not impossible, and full-time care is required.

Cognitive : Abilities affected are;

  • Executive function
  • Planning; cognitive flexibility
  • Rule acquisition
  • Initiating appropriate actions
  • Inhibiting inappropriate actions
  • Slurring of the words and some uncontrollable movement of the lips
  • Perceptual and spatial skills of self and surrounding environment
  • Ability to learn new skills, depending on the affected parts of the brain.

Psychopathological : Psychopathological symptoms vary more than cognitive and physical symptoms, and may include

References

  1. Mitchell IJ, Heims H, Neville EA, Rickards H. Huntington's disease patients show impaired perception of disgust in the gustatory and olfactory modalities. Journal of Neuropsychiatry and Clinical Neuroscience, 17:119-121, February 2005. PMID 15746492
  2. Sprengelmeyer R, Schroeder U, Young AW, Epplen JT. "Disgust in pre-clinical Huntington's disease: a longitudinal study." Neuropsychologia. 2006;44(4):518-33. Epub 2005 August 11. PMID 16098998
  3. PubMed search for "Huntington's disease" and "disgust"

Template:WH Template:WS