Brain and Spine Care
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What is Huntington’s disease?
Huntington’s disease is a brain problem in which brain cells (neurons) in parts of your brain start to break down. As the neurons break down, it can lead to emotional problems, thinking problems, and uncontrolled movements.
Huntington’s disease has two subtypes:
Adult-onset. This is the most common form. People typically develop the symptoms in their mid-30s and 40s.
Early-onset. In rare instances, children or teens will get the disease. Children with the disease tend to have sudden trouble with schoolwork. They often have symptoms that are similar to Parkinson disease.
What causes Huntington’s disease?
Huntington’s disease is a genetic disorder. It is passed on from parents to children. If a parent has Huntington’s disease, the child has a 1 in 2 chance of getting it. If the child doesn’t get the disease, they won’t pass it on to their children. For 1 to 3 in 100 people with the disease, no family history of the disorder is ever found.
What are the symptoms of Huntington’s disease?
The early symptoms of Huntington’s disease are often general:
Irritability
Depression
Mood swings
Trouble driving
Trouble learning new things
Forgetting facts
Trouble making decisions
As it gets worse, these symptoms become more common:
Trouble feeding oneself
Trouble swallowing
Strange and uncontrolled movements that are either slow or wild and jerking (chorea)
Loss of memory and judgment
Changes in speech
Personality changes
Disorientation and confusion
Hallucinations, paranoia, and psychosis
Poor judgment. This can cause injury or problems with the law.
In children, the symptoms often include Parkinson disease‒like features such as:
Slow movements
Rigidity
Tremors
How is Huntington disease diagnosed?
Many of these symptoms can be caused by other diseases, so your healthcare provider will do a detailed physical and nervous system exam. A family history of the disorder is often the biggest clue that you may have Huntington’s disease.
Special blood tests can help your healthcare provider find out how likely you are to get Huntington’s disease. A CT scan of the head can help your provider assess the scope and scale of brain cell damage and loss of brain tissue. An MRI or a positron emission tomography (PET) scan may also be used.
Who is at risk for Huntington’s disease?
If you have the Huntington’s disease gene, you will get the disease at some point during your life. The age of onset varies greatly from person to person, but most people get it in their 30s or 40s.
Huntington’s disease is rare. More than 15,000 Americans currently have it, but many more are at risk for it.
How is Huntington’s disease treated?
You can’t cure or slow the progression of Huntington’s disease. But healthcare providers can prescribe medicines to help with certain symptoms.
Medicines such as haloperidol, tetrabenazine, and amantadine can help control the unusual movements caused by Huntington’s disease. Haloperidol and tetrabenazine can also help prevent hallucinations and delusional thoughts. Depression and suicide are common among people with this disease. Antidepressants and anti-anxiety medicines may be prescribed to treat these symptoms. You may need psychotherapy to help treat behavioral problems.
Living with Huntington’s disease
As Huntington’s disease gets worse, you will eventually need constant help and supervision because of the debilitating nature of the disease. People usually die from the disease within 15 to 20 years of the start of symptoms.
If you have been diagnosed with or are at risk for Huntington’s disease, it is critical to stay physically fit as best you can. People who exercise regularly and stay active tend to do better than those who don’t.
A number of studies are underway to find new treatments for Huntington’s disease. Talk with your healthcare provider about whether any of these may be helpful to you or a loved one with the disorder.
When should I call my healthcare provider?
If you have Huntington’s disease, it is important to closely monitor your condition. Call your healthcare provider if you notice any of the following symptoms:
Increasing trouble with motor tasks such as walking
Trouble swallowing
Mood changes, such as increasing symptoms of depression or feelings of suicide
Key points about Huntington’s disease
Huntington’s disease is a genetic brain disorder.
There is no cure at this time, but a variety of treatment approaches are currently being looked at.
The goal of treatment is to manage your symptoms so that you can function as long as possible.
If you have Huntington’s disease, your child has a 1 in 2 chance of getting it.
Huntington’s disease affects your emotional, physical, and thinking abilities.
As the disease gets worse, you will need more help and supervision. Eventually, you will need help 24 hours a day.
Next steps
Tips to help you get the most from a visit to your healthcare provider:
Know the reason for your visit and what you want to happen.
Before your visit, write down questions you want answered.
Bring someone with you to help you ask questions and remember what your provider tells you.
At the visit, write down the name of a new diagnosis and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
Know why a new medicine or treatment is prescribed and how it will help you. Also know what the side effects are.
Ask if your condition can be treated in other ways.
Know why a test or procedure is recommended and what the results could mean.
Know what to expect if you do not take the medicine or have the test or procedure.
If you have a follow-up appointment, write down the date, time, and purpose for that visit.
Know how you can contact your provider if you have questions.
