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Published on: March 1, 2015
Dysphagia in Huntington's disease: a review
Anne-Wil Heemskerk1, Raymond A C Roos
1Department of Neurology, Leiden University Medical Centre (LUMC), Albinusdreef 2, P.O. Box 9600, 2300 RC Leiden, The Netherlands. w.a.heemskerk@lumc.nl
Insights
Huntington's disease (HD) patients often experience dysphagia, but research lacks standardized methods for its assessment and treatment. This review highlights the need for better strategies to manage swallowing difficulties in HD.
Area of Science:
- Neurology
- Gastroenterology
- Genetics
Background:
- Huntington's disease (HD) is a progressive, autosomal dominant neurodegenerative disorder.
- Motor, behavioral, and cognitive impairments are characteristic of HD.
- Dysphagia is a common complication in HD patients due to combined motor disturbances.
Purpose of the Study:
- To survey the literature on dysphagia in Huntington's disease.
- To identify the frequency and characteristics of dysphagia in HD patients.
- To evaluate existing treatment and prevention strategies for dysphagia in HD.
Main Methods:
- A detailed literature survey was conducted.
- Studies investigating dysphagia in Huntington's disease were reviewed.
- Methodological variability and patient group heterogeneity were assessed.
Main Results:
- Existing studies on dysphagia in HD are characterized by heterogeneous patient groups and variable methodologies.
- There is a lack of systematically proven, balanced advice for the prevention and treatment of dysphagia in HD.
- The precise frequency and characteristics of dysphagia in HD remain poorly understood.
Conclusions:
- Current literature provides insufficient evidence for effective dysphagia management in Huntington's disease.
- Further research with standardized methods is needed to develop balanced treatment and prevention strategies.
- Addressing dysphagia is crucial for improving the quality of life for HD patients.
Abstract:
Huntington's disease (HD) is a progressive neurodegenerative autosomal dominant disease characterized by disturbed movements and behavior and cognitive decline. The motor disturbances are both choreiform and hypokinetic. As a result of the combination of these signs, it is known that many patients with HD suffer from dysphagia. Little is known about the frequency and the characteristics of dysphagia in HD. Well-balanced strategies for treatment and prevention of dysphagia in HD are lacking. Therefore, we have performed a detailed survey of the literature. We found that the patient groups studied were heterogeneous and the methods used were highly variable, and no balanced advice for prevention and treatment was systematically proven.
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