| Huntington
Disease This is an autosomally-inherited, dominant
disorder in which the patient begins to exhibit symptoms in the third to fourth
decades. Patients with Huntington Disease (HD) initially have a tendency to fidget
which over months or years develops into jerky, choreiform movements. HD usually
progresses over a 10 to 25 year period. As the disease progresses it leads to
dementia and usually death from incurrent infection. There is a high incidence of
suicide among patients with HD.
Pathologically, there is atrophy of certain forebrain structures
including the entire cerebral cortex and even more notably of the caudate nucleus and
putamen The head of the caudate is reduced to a narrow brownish band of tissue that
is flattened or concave. In normal brain the ratio of small neurons to large neurons
in the corpus striatum is approximately 160:1 in Huntingtons patients the ratio is reduced
to 40:1 with a marked decrease in the number of astrocytes. The gene for this
disease has been isolated to the short arm of chromosome 4.
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References |