# Huntington's Disease: A Report of an Interesting Case and Literature Review

**Authors:** Praveen K Sharma, Arun Aram, Yashaswinii Polaka, Vinoth Pandian

PMC · DOI: 10.7759/cureus.55443 · Cureus · 2024-03-03

## TL;DR

This paper presents a case of Huntington's disease in a 62-year-old woman and reviews the condition's symptoms, diagnosis, and management.

## Contribution

The paper contributes a case report and emphasizes the importance of early diagnosis and multidisciplinary care in Huntington's disease.

## Key findings

- HD is diagnosed through clinical evaluation, imaging, and molecular confirmation of CAG triplet expansion.
- Multidisciplinary care improves symptom management and quality of life for HD patients.
- Early diagnosis enables timely interventions and better outcomes for individuals with HD.

## Abstract

Huntington's disease (HD), referred to as Huntington's chorea, is an infrequent neurodegenerative ailment with an autosomal-dominant inheritance pattern characterized by the progressive deterioration of GABAergic neurons in the basal ganglia. Other ones include subcortical-type dementia, behavioral abnormalities, midlife psychosis, and gradual inadvertent choreoathetosis movements. HD is characterized by atrophy of the dorsal striatum (caudate nucleus and putamen) with concurrent expansion of the frontal horns of the lateral ventricles on imaging modalities such as computed tomography (CT) and magnetic resonance imaging (MRI). A molecular study validates the diagnosis of HD by identifying the disorder's hallmark amplified CAG triplet. Currently, there is no cure for HD, and treatment focuses on providing supportive care and managing the symptoms. Multidisciplinary approaches involving healthcare professionals, neurologists, and psychiatrists are crucial for comprehensive management. Medications are used to alleviate motor symptoms and manage psychiatric manifestations. Physical and occupational therapies help maintain functional abilities and improve quality of life. Genetic counseling and psychosocial support are essential for patients and their families. An additional crucial objective entails advancing more precise and dependable techniques for the timely identification and assessment of HD. Timely interventions and improved symptom management are made possible by early diagnosis. Based on clinical and imaging findings, we present a case of HD in a 62-year-old female.

## Linked entities

- **Diseases:** Huntington's disease (MONDO:0007739)

## Full-text entities

- **Diseases:** dementia (MESH:D003704), neurodegenerative ailment (MESH:D019636), choreoathetosis (MESH:C567034), HD (MESH:D006816), behavioral abnormalities (MESH:D001523), striatum (MESH:D020267), psychosis (MESH:D011618), atrophy of the (MESH:D001284)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

20 references — full list in the complete paper: https://tomesphere.com/paper/PMC10986899/full.md

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Source: https://tomesphere.com/paper/PMC10986899