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[Familial Westphal variant of Huntington's disease. Case report]
Anita Geppert1, Jacek Losy, Wojciech Kozubski
1Katedra i Klinika Neurologii, Akademia Medyczna im. K. Marcinkowskiego w Poznaniu, Poznań. Anita_Geppert@poczta.onet.pl
Insights
Huntington's disease (HD) is a common neurodegenerative disorder. This case study highlights the diagnostic challenges of the rare Westphal variant in a third-generation female patient.
Area of Science:
- Neuroscience
- Genetics
- Neurology
Background:
- Huntington's disease (HD) is the most prevalent autosomal dominant neurodegenerative disorder.
- Adult HD typically manifests with chorea, cognitive decline, and mood disturbances.
- Juvenile HD, or Westphal variant, presents with distinct symptoms like rigidity and myoclonus, complicating diagnosis.
Observation:
- This paper details a case of Westphal variant Huntington's disease.
- The patient is a female from the third generation of affected women.
- The presentation differed significantly from typical adult Huntington's disease.
Findings:
- The Westphal variant of Huntington's disease presents with rigidity and myoclonus.
- This variant can lead to diagnostic difficulties due to its atypical presentation.
- The genetic inheritance pattern was observed across three generations.
Implications:
- Understanding the Westphal variant is crucial for accurate and timely diagnosis.
- Recognizing atypical presentations of Huntington's disease improves patient management.
- Further research into genotype-phenotype correlations in HD is warranted.
Abstract:
Huntington's disease (HD) is commonly recognized, and the most common autosomal dominant neurodegenerative disease of the central nervous system. The major clinical symptoms in adults include mood changes, choreic movements and progressive cognitive decline. Juvenile HD known as Westphal variant presents with significantly different signs characterized mainly by rigidity, myoclonus, and therefore causes diagnostic difficulties. In this paper, we present the patient with Westphal variant of HD in the third generation of women.
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