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Fractionation for Resolution of Soluble and Insoluble Huntingtin Species
Published on: February 27, 2018
Huntington's disease
Mark Grove1, Jean-Paul Vonsattel, Pietro Mazzoni
1Department of Neurology, Beth Israel Medical Center, New York, NY 10128, USA. mgroves@chpnet.org
Insights
This case study details Huntington's disease (HD), a rare neurodegenerative disorder affecting motor, cognitive, and psychiatric functions. While no cure exists, symptomatic treatments can improve patient quality of life.
Area of Science:
- Neuroscience
- Genetics
- Pathology
Background:
- Huntington's disease (HD) is a rare, autosomal dominant neurodegenerative disorder.
- It affects motor, cognitive, and psychiatric functions due to basal ganglia involvement.
- Symptoms typically manifest in the late 30s or early 40s.
Observation:
- This case study presents a patient with Huntington's disease (HD).
- It includes detailed descriptions of symptoms, neurological examination, and neuropsychological test results.
- Brain pathology findings are also described for the deceased patient.
Findings:
- HD is caused by an unstable expansion of the trinucleotide CAG repeat on chromosome 4.
- This genetic mutation leads to the characteristic symptoms and pathology of the disease.
- The study documents the clinical and pathological progression in a single HD case.
Implications:
- Understanding HD's genetic basis (CAG repeat expansion) is crucial.
- Despite the lack of disease-modifying treatments, symptomatic management is vital.
- This case study contributes to the understanding of Huntington's disease progression and pathology.
Abstract:
In this case study, we describe the symptoms, neurological exam, neuropsychological test results, and brain pathology of a man who died with Huntington's disease (HD). HD is a rare neurodegenerative disease. Like other movement disorders involving the basal ganglia, HD affects motor, cognitive, and psychiatric functioning. The disease follows an autosomal dominant pattern of inheritance, with onset of symptoms most commonly occurring in the late 30s or early 40s, as in this patient. HD is caused by an unstable expansion of the trinucleotide CAG, coding for glutamine, on chromosome 4. Despite knowledge of the gene mutation responsible for HD, no definitive treatment is currently available to slow or halt progression of the disease. However, symptomatic treatment can significantly improve the quality of life for patients with HD.
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