Thursday, July 19, 2018

Huntington's Disease | Stroke 2018

Huntington’s disease is a hereditary condition in which your brain’s nerve cells gradually break down. This affects your physical movements, emotions, and cognitive abilities. There is no cure, but there are ways to cope with this disease and its symptoms.
Huntington’s disease is much more common in people with European ancestry, affecting about three to seven out of every 100,000 people of European descent.
What Are the Symptoms of Huntington’s Disease?
There are two types of Huntington’s disease: adult onset and early onset.Huntington

Adult Onset

Adult onset is the most common type of Huntington’s disease. Symptoms usually begin when people are in their 30s or 40s. Initial signs often include:
  • depression
  • irritability
  • hallucinations
  • psychosis
  • minor involuntary movements
  • poor coordination
  • difficulty understanding new information
  • trouble making decisions
Symptoms that may occur as the disease progresses include:
  • uncontrolled twitching movements, called chorea
  • difficulty walking
  • trouble swallowing and speaking
  • confusion
  • memory loss
  • personality changes
  • speech changes
  • decline in cognitive abilities
A defect in a single gene causes Huntington’s disease. It’s considered an autosomal dominant disorder. This means that one copy of the abnormal gene is enough to cause the disease. If one of your parents has this genetic defect, you have a 50 percent chance of inheriting it. You can also pass it on to your children.
The genetic mutation responsible for Huntington’s disease is different from many other mutations. There isn’t a substitution or a missing section in the gene. Instead, there is a copying error. An area within the gene is copied too many times. The number of repeated copies tends to increase with each generation.
In general, symptoms of Huntington’s disease show up earlier in people with a larger number of repeats. The disease also progresses faster as more repeats build up.

Neurological Tests

A neurologist will do tests to check your:
  • reflexes
  • coordination
  • balance
  • muscle tone
  • strength
  • sense of touch
  • hearing
  • vision

Brain Function and Imaging Tests

If you’ve had seizures, you may need an electroencephalogram (EEG). This test measures the electrical activity in your brain.
Brain-imaging tests can also be used to detect physical changes in your brain.
  • Magnetic resonance imaging (MRI) scans use magnetic fields to record brain images with a high level of detail.
  • Computed tomography (CT) scans combine several X-rays to produce a cross-sectional image of your brain.

Psychiatric Tests

Your doctor might ask you to undergo a psychiatric evaluation. This evaluation checks your coping skills, emotional state, and behavioral patterns. A psychiatrist will also look for signs of impaired thinking.
You may be tested for substance abuse to see if drugs might explain your symptoms.

Genetic Testing

If you have several symptoms associated with Huntington’s disease, your doctor might recommend genetic testing. A genetic test can definitively diagnose this condition.
Genetic testing may also help you decide whether or not to have children. Some people with Huntington’s do not want to risk passing the defective gene to the next generation.
What Are the Treatments for Huntington’s Disease?

Medications

Medications can provide relief from some of your physical and psychiatric symptoms. The types and amounts of drugs needed will change as your condition progresses.
  • Involuntary movements may be treated with tetrabenazine and antipsychotic drugs.
  • Muscle rigidity and involuntary muscle contractions can be treated with diazepam.
  • Depression and other psychiatric symptoms can be treated with antidepressants and mood-stabilizing drugs.

Therapy

Physical therapy can help improve your coordination, balance, and flexibility. With this training, your mobility is improved, and falls may be prevented.
Occupational therapy can be used to evaluate your daily activities and recommend devices that help with:
  • movement
  • eating and drinking
  • bathing
  • getting dressed
Speech therapy may be able to help you speak clearly. If you can’t speak, you will be taught other types of communication. Speech therapists can also help with swallowing and eating problems.
Psychotherapy can help you work through emotional and mental problems. It can also help you develop coping skills.
Source: healthline.com

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