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Published on: November 21, 2013
Huntington's disease: Neuropsychiatric manifestations of Huntington's disease
Anita My Goh1, Pierre Wibawa2, Samantha M Loi3
1Neuropsychologist, Neuropsychiatry Unit, Royal Melbourne Hospital, Parkville, VIC, and; Research Fellow, Academic Unit for Psychiatry of Old Age, The University of Melbourne, Melbourne, VIC, and; National Ageing Research Institute, Parkville, VIC, Australia.
Insights
Huntington's disease (HD) management focuses on maximizing quality of life by addressing neuropsychiatric symptoms. These symptoms can appear decades before motor signs, impacting function and offering insights into neurodegeneration.
Area of Science:
- Neurology
- Neuroscience
- Psychiatry
Background:
- Huntington's disease (HD) is a fatal neurodegenerative disorder with no current cure.
- Current management aims to improve quality of life and functional independence for patients and families.
- Neuropsychiatric manifestations are a significant aspect of HD's clinical presentation.
Purpose of the Study:
- To review the common neuropsychiatric manifestations in Huntington's disease.
- To outline and evaluate the aetiology, symptoms, and diagnosis of these neuropsychiatric facets.
- To provide clinical insights into neurodegeneration and psychiatric disorders.
Main Methods:
- This is a clinical update review.
- Focuses on common neuropsychiatric manifestations.
- Outlines and evaluates various neuropsychiatric facets of HD.
Main Results:
- Neuropsychiatric symptoms can precede motor symptoms by decades in prodromal HD.
- These symptoms significantly impair function.
- HD offers insights into organic psychiatric disorders and neurodegeneration.
Conclusions:
- Neuropsychiatric symptoms are a critical, often early, feature of Huntington's disease.
- Understanding these symptoms is key to managing HD and improving patient outcomes.
- HD research contributes to understanding neurodegenerative processes and psychiatric manifestations.
Objectives:
Huntington's disease (HD) is a profoundly incapacitating, and ultimately fatal, neurodegenerative disease. HD is presently incurable, so the current goal is to allow affected individuals to live as well as possible with the illness, to maximise functional independence and quality of life for the person with HD, their carers and family members. This clinical update review focuses on the common neuropsychiatric manifestations in HD, and outlines and evaluates the various neuropsychiatric facets of HD, including the aetiology, symptoms and diagnosis.
Conclusions:
Neuropsychiatric symptoms can precede the classic motor clinical symptoms of HD (prodromal HD) by decades, and cause significant functional impairment. HD provides key insights and understanding into the organic psychiatric disorders, including contemporary clinical insights into the process of neurodegeneration and manifestation of neuropsychiatric symptoms.
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