Caring for People with Huntington's Disease


Huntington's Disease is an inherited degenerative neuropsychiatric disorder which affects both body and mind. Symptoms most commonly begin between the ages of 35 and 50, although onset may occur any time from childhood to old age. Research is progressing rapidly, but there is currently no cure.

Huntington's disease is inherited in an autosommal dominant fashion. Each child of an affected parent has a 50 % chance of inheriting the disease and is said to be at risk. The discovery of the HD gene in 1993 has made it possible to test at-risk individuals for Huntington's disease before symptoms occur. In the absence of a cure, however, the decision to be tested or not remains a difficult one, and there are many important legal, financial and personal considerations. For more information about the genetic basis of Huntington's disease, you may wish to visit the Online Mendellian Inheritance in Man (OMIN) to learn about the genetic basis or the DNA library at the National Library of Medicine to see the actual gene sequence.

The clinical features of Huntington's disease can be thought of as a triad of emotional, cognitive and motor disturbances. Symptoms include chorea (dance-like involuntary movements), clumsiness, slurred speech, depression, irritability and apathy. Cognitive losses include intellectual speed, attention and short-term memory.

Huntington's disease affects people in different ways. One member of a family may have more trouble with clumsiness while another may have emotional outbursts. Moreover, symptoms of Huntington's disease in the same individual change over time.

Although there is currently no overall remedy for this disease, professionals are in agreement that a symptom-specific, interdisciplinary approach is the best way to care, maintain and improve the quality of life for the affected individual or family.

This page was developed as a site where patients, families, professionals can find help in caring for people with Huntington's disease. Included are articles on specific care issues, as well as a list of other sites related to Huntington's disease. If there are additional care issues you would like to see addressed please let me know. There is a growing community of professionals knowledgeable about Huntington's disease and we would like to make their expertise available to you.Ý


Disclaimer

This home page is not meant to be an authoritative work on Huntington's disease. This work represents information gathered from many sources from many involved in the care of people with Huntington's disease. There is no substitute for accurate diagnosis of Huntington's disease provided by a clinician familiar with the disease. I have purposefully not touched on the use of medications to treat some of the behavioral problems of Huntington's disease. Information about medications, for health care providers can be found in the book by Adam Rosenblatt.

This home page does not reflect the opinions or consensus of the Department of Neurology or those of the University of Kansas Medical Center or of the University of Kansas.


Specific Care Issues

The following areas are being developed


Other sources on the WWW dealing with Huntington's disease:


This site debuted on December 5, 1995 and the site was last updated onÝ June 18,2003.

KUMC Pulse This home page is supported by the Department of Neurology at the Kansas University Medical Center and by the Huntington's disease support groups


Suggestions and comments are welcome. Please mail them to me at: rdubinsk@kumc.edu