Huntington's disease: Neuropsychiatric manifestations of Huntington's disease

Australas Psychiatry. 2018 Aug;26(4):366-375. doi: 10.1177/1039856218791036. Epub 2018 Jul 16.

Abstract

Objectives: Huntington's disease (HD) is a profoundly incapacitating, and ultimately fatal, neurodegenerative disease. HD is presently incurable, so the current goal is to allow affected individuals to live as well as possible with the illness, to maximise functional independence and quality of life for the person with HD, their carers and family members. This clinical update review focuses on the common neuropsychiatric manifestations in HD, and outlines and evaluates the various neuropsychiatric facets of HD, including the aetiology, symptoms and diagnosis.

Conclusions: Neuropsychiatric symptoms can precede the classic motor clinical symptoms of HD (prodromal HD) by decades, and cause significant functional impairment. HD provides key insights and understanding into the organic psychiatric disorders, including contemporary clinical insights into the process of neurodegeneration and manifestation of neuropsychiatric symptoms.

Keywords: Huntington’s disease; neuropsychiatric manifestations; neuropsychiatry; psychiatry.

Publication types

  • Review

MeSH terms

  • Behavioral Symptoms / etiology
  • Behavioral Symptoms / physiopathology*
  • Humans
  • Huntington Disease / complications
  • Huntington Disease / diagnosis
  • Huntington Disease / pathology
  • Huntington Disease / physiopathology*