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Huntington's disease
1Movement Disorders Division, Department of Neurology, School of Medicine, University of Maryland, Baltimore 21201, USA. kanderson@psych.umaryland.edu
Insights
Huntington's disease (HD) is an inherited neurological disorder with cognitive and psychiatric symptoms. While treatments for neurological and cognitive aspects are limited, psychiatric interventions improve quality of life and may slow disease progression.
Area of Science:
- Neuroscience
- Genetics
- Psychiatry
Background:
- Huntington's disease (HD) is a progressive, inherited neurodegenerative disorder.
- HD affects neurological, cognitive, and psychiatric domains, often concurrently.
- Current treatments for neurological and cognitive symptoms are limited, with no disease-modifying therapies available.
Purpose of the Study:
- To review the current state of Huntington's disease treatment.
- To highlight the impact of psychiatric symptoms and their management.
- To discuss ongoing research for symptomatic and disease-modifying treatments.
Main Methods:
- Literature review of existing Huntington's disease research.
- Analysis of treatment efficacy for different symptom domains.
- Overview of current clinical trials for HD therapeutics.
Main Results:
- Psychiatric symptoms in HD often respond well to psychiatric medication.
- Effective management of behavioral symptoms can improve patient and caregiver quality of life.
- Numerous clinical trials are investigating both symptomatic and disease-modifying treatments for HD.
Conclusions:
- While neurological and cognitive treatments for HD remain limited, psychiatric interventions offer significant benefits.
- Aggressive management of psychiatric symptoms is crucial for improving quality of life in HD patients.
- Ongoing research holds promise for future therapeutic advancements in Huntington's disease.
Abstract:
Huntington's disease (HD) is an inherited disorder that causes neurological, cognitive, and psychiatric symptoms. Most patients with HD develop symptoms in all three of these domains, often concurrently. Problems in one area can impact and magnify symptoms in another domain. Limited treatment options exist for neurological and cognitive symptoms at this time, and no treatment exists to slow disease progression. In contrast, many behavioral symptoms respond to psychiatric medication. Thorough and aggressive treatment of psychiatric symptoms can positively impact both patient and caregiver quality of life, and may allow patients to remain longer in the home. There are currently numerous treatment trials not only for symptomatic therapy, but also for disease-modifying agents.
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