Abstract
Huntington’s disease (HD) is an autosomal dominant, progressive, neurodegenerative disorder first described in detail by George Huntington in 1872. Symptoms of HD include an extrapyramidal motor disorder, cognitive impairment, and psychiatric syndromes. Impairments in all three domains may occur simultaneously in an individual patient, or separately over the course of the illness. Behavioral and cognitive changes may precede the onset of neurological signs. Because few psychiatrists have experience in caring for patients with HD, the neurologist often must be adept in evaluation and treatment of both neurological and behavioral abnormalities.
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References
Harper PS. The epidemiology of Huntington’s disease. Hum Genet 1992; 89:363–376.
Reuter I, Hu MT, Andrews TC, Brooks DJ, Clough C, Chaudhuri KR. Late onset levodopa responsive Huntington’s disease with minimal chorea masquerading as Parkinson plus syndrome. J Neurol Neurosurg Psychiatry 2000;68:238–241.
Huntington’s Disease Collaborative Research Group. A novel gene containing a trinucleotide repeat that is expanded and unstable on Huntington’s disease chromosomes. Cell 1993;72:971–983.
Vonsattel JP, DiFiglia M. Huntington disease. J Neuropathol Exp Neurol 1998;57:369–384.
Difiglia M. Excitotoxic injury of the neostriatum is a model for Huntington’s disease. Trends Neurosci 1990;13:286–289.
Beal MF. Does impairment of energy metabolism result in excitotoxic neuronal death in neurodegenerative illnesses? Ann Neurol 1992;31:119–130.
Nucifora FC Jr, Sasaki M, Peters MF, et al. Interference by huntingtin and atrophin-1 with cbp-mediated transcription leading to cellular toxicity. Science 2001;291:2423–2428.
Hersch SM, Ferrante RJ. Translating therapies for Huntington’s disease from genetic animal models to clinical trials. Neurorx 2004;1:298–306.
Feigin A, Zgaljardic D. Recent advances in Huntington’s disease: implications for experimental therapeutics. Curr Opin Neurol 2002 Aug; 15:483–489.
Myers RH. Huntington’s disease genetics. Neurorx 2004;1:255–262.
Margolis RL, O’Hearn E, Rosenblatt A, et al. A disorder similar to Huntington’s disease is associated with novel CAG repeat expansion. Ann Neurol 2001;50:373–380.
Ross CA. Polyglutamine pathogenesis: emergence of unifying mechanisms for Huntington’s disease and related disorders. Neuron 2002;35:819–822.
Hersch S, Jones R, Koroshetz W, Quaid K. The neurogenetics genie: testing for the Huntington’s disease mutation. Neurology 1994;44:1369–1373.
Almqvist EW, Bloch M, Brinkman R, Craufurd D, Hayden MR. A worldwide assessment of the frequency of suicide, suicide attempts or psychiatric hospitalization after predictive testing for Huntington disease. Am J Hum Genet 1999;64:1293–1304.
Hedreen JC, Folstein SE. Early loss of neostriatal striosome neurons in Huntington’s disease. J Neuropathol Exp Neurol 1995;54:105–120.
Vonsattel JP, Myers RH, Stevens TJ, Ferrante RJ, Bird ED, Richardson EP Jr. Neuropathological classification of Huntington’s disease. J Neuropahtol Exp Neurol 1985;44:559–577.
Rosas HD, Goodman J, Chen YI, et al. Striatal volume loss in HD as measured by MRI and the influence of CAG repeat. Neurology 2001;57:1025–1028.
Aylward EH, Li Q, Stine OC, et al. Longitudinal change in basal ganglia volume in patients with Huntington’s disease. Neurology 1997;48:394–399.
Aylward EH, Codori AM, Rosenblatt A, et al. Rate of caudate atrophy in presymptomatic and symptomatic stages of Huntington’s disease. Mov Disord 2000;15:552–560.
Turjanski N, Weeks R, Dolan R, Harding AE, Brooks DJ. Striatal D1 and D2 receptor binding in patients with Huntington’s disease and other choreas: a PET study. Brain 1995;118:689–696.
Ginovart N, Lundin A, Farde L, et al. PET study of pre and post-synaptic dopaminergic markers for the neuordegenerative process in Huntington’s disease. Brain 1997;120:503–514.
Rosas HD, Feigin AS, Hersch SM. Using advances in neuroimaging to detect, understand, and monitor disease progression in Huntington’s disease. Neurorx 2004;1:263–272.
Moskowitz CB, Marder K. Palliative care for people with late-stage Huntington’s disease. Neurol Clin 2001;19:849–865.
Hersch SM. Huntington’s disease: prospects for neuroprotective therapy 10 years after the discovery of the causative genetic mutation.Curr Opin Neurol 2003;16:501–506.
Brandt J. Cognitive impairements in Huntington’s disease: insights into the neuropsychology of the striatum. In: Corkin S, Grafman J, Boller F, eds. Handbook of Neuropsychology, Vol 5. Amsterdam: Elsevier; 1991.
Brouwers P, Cox C, Martin A, Chase T, Fedio P. Differential perceptual-spatial impairment in Huntington’s and Alzheimer’s dementias. Arch Neurol 1984;41:1073–1076.
Hodges JR, Salmon DP, Butters N. Differential impairment of semantic and episodic memory in Alzheimer’s and Huntington’s diseases: a controlled prospective study. J Neurol Neurosurg Psychiatry 1990;53:1089–1095.
Lange KW, Sahakian BJ, Quinn NP, Marsden CD, Robbins TW. Comparison of executive and visuospatial memory function in Huntington’s disease and dementia of Alzheimer type matched for degree of demetia. J Neurol Neurosurg Psychiatry 1995;58:598–606.
Paulsen JS, Butters N, Salmon DP, Heindel WC, Swenson MR. Prism adaptation in Alzheimer’s and Huntington’s disease. Neuropsychology 1993;7:73–81.
Ho AK, Sahakian BJ, Brown RG, et al. NEST-HD Consortium. Profile of cognitive progression in early Huntington’s disease. Neurology 2003 23;61:1702–1706.
Ross CA, Aylward EH, Stout JC, et al. Clinical and Radiographic features among presymptomatic individuals carrying an expanded CAG repeat in the Huntington’s disease gene: Analysis of baseline characteristics of the PREDICT-HD cohort. Abstract, S44.001, American Academy of Neurology 56th Annual Meeting, 2004.
Rot U, Kobal J, Sever A, Pirtosek Z, Mesec A. Rivastigmine in the treatment of Huntington’s disease. Eur J Neurol 2002;9:689–690.
Fernandez HH, Friedman JH, Grace J, Beason-Hazen S. Donepezil for Huntington’s disease. Mov Disord 2000;15:173–176.
Shiwach RS, Patel V. Aggressive behavior in Huntington’s disease: a cross-sectional study in a nursing home population. Behav Neurol 1993;6:43–47.
Mendez MF. Huntington’s disease: update and review of neuropsychiatric aspects. Int J Psychiatry Med 1994;24:189–208.
Folstein SE. Huntington Disease: A Disorder of Families, First Edition. Baltimore: The Johns Hopkins Press; 1989.
Dewhurst K, Oliver JE, McKnight AL. Socio-psychiatric consequences of Huntington’s disease. Br J Psychiatry 1970;116:255–258.
Weigell-Weber M, Schmid W, Spiegel R. Psychiatric symptoms and CAG expansion in Huntington’s disease. Am J Med Genet 1996;67:53–57.
Anderson KE, Marder KS. An overview of psychiatric symptoms in Huntington’s disease. Curr Psychiatry Rep 2001;3:379–388.
Marder K, Zhao H, Myers RH, et al. Rate of functional decline in Huntington’s disease. Huntington Study Group. Neurology 2000;54:452–458.
Nance MA, Sanders G. Characteristics of individuals with Huntington disease in long-term care. Mov Disord 1996;11:542–548.
Dewhurst K, Oliver J, Trick KL, McKnight AL. Neuro-psychiatric aspects of Huntington’s disease. Confin Neurol 1969;31:258–268.
Ranen NG, Peyser CE, Folstein SE. A Physician’s Guide to the Management of Huntington’s Disease: Pharmacologic and Nonpharmacoligic Interventions. New York: Huntington’s Disease Society of America; 1993.
Paulsen JS, Butters N, Sadek JR, et al. Distinct cognitive profiles of cortical and subcortical dementia in advanced illness. Neurology 1995;45:951–956.
Caine ED, Shoulson I. Psychiatric syndromes in Huntington’s disease. Am J Psychiatry 1983;140:728–733.
Di Maio L, Squitieri F, Napolitano G, Campanella G, Trofatter JA, Conneally PM. Suicide risk in Huntington’s disease. J Med Genet 1993;30:293–295.
Schoenfeld M, Myers RH, Cupples LA, Berkman B, Sax DS, Clark E. Increased rate of suicide among patients with Huntington’s disease. J Neuro Neurosurg Psychiatry 1984;47:1283–1287.
Leonard DP, Kidson MA, Brown JG, Shannon PJ, Taryan S. A double blind trial of lithium carbonate and haloperidol in Huntington’s chorea. Aust N Z J Psychiatry 1975;9:115–118.
Lipe H, Schultz A, Bird TD. Risk factors for suicide in Huntingtons disease: a retrospective case controlled study. Am J Med Genet 1993;48:231–233.
Paulsen JS, Ready RE, Hamilton JM, Mega MS, Cummings JL. Neuropsychiatric aspects of Huntington’s disease. J Neurol Neurosurg Psychiatry 2001;71:310–314.
Anderson KE, Louis ED, Stern Y, Marder KS. Cognitive correlates of obsessive and compulsive symptoms in Huntington’s disease. Am J Psychiatry 2001;158:799–801.
Berrios GE, Wagle AC, Markova IS, Wagle SA, Rosser A, Hodges JR. Psychiatric symptoms in neurologically asymptomatic Huntington’s disease gene carriers: a comparison with gene negative at risk subjects. Acta Psychiatr Scand 2002;105:224–30.
Cummings JL. Behavioral and psychiatric symptoms associated with Huntington’s disease. Adv Neurol 1995;65:179–86.
Lishman AW. Senile dementias, presenile dementias, and pseudodementias. In: Lishman AW, ed. Organic Psychiatry: The Psychological Consequences of Cerebral Disorder. Oxford: Blackwell Science; 1998:468–469.
Lion EG, Kahn E. Experiential aspects of Huntington’s chorea. Am J Psychiatry 1938;95:717–727.
James WE, Mefferd RB Jr, Kimbell I Jr. Early signs of Huntington’s chorea. Dis Nerv Syst 1969;30:556–559.
Jensen P, Fenger K, Bolwig TG, Sorensen SA. Crime in Huntington’s disease: a study of registered offences among patients, relatives, and controls. J Neurol Neurosurg Psychiatry 1998;65:467–471.
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Anderson, K.E., Marder, K.S. (2006). Huntington’s Disease. In: Jests, D.V., Friedman, J.H. (eds) Psychiatry for Neurologists. Current Clinical Neurology. Humana Press. https://doi.org/10.1007/978-1-59259-960-8_18
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DOI: https://doi.org/10.1007/978-1-59259-960-8_18
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