Huntington’s chorea: etiology of development, clinical picture

Huntington’s chorea: etiology of development, clinical picture

Huntington’s chorea is a hereditary disease and is characterized by the severe damage to the central nervous system. It is caused by pathological changes in the human genome. It can affect not only the cerebral cortex, but also its soft tissues. The disease is difficult, actively progressing.

Mimic involuntary movements on the face gradually become intense, accompanied by dancing motion, nutation out of place, waving hands, swinging the body from side to side. Tic hyperkinesis can be diagnosed, the child is followed by a neurologist.


As the child grows, the symptoms mentioned above may disappear, but a general slowness in behavior is noted. Subsequently, muscle tone becomes as high as possible, and a patient is not even able to take care of himself/herself: to button up, put on pants, and so on.

The result of genome disruption is mental deficiency and dementia, when a person needs constant care. The disease progression lasts 10–20 years. The juvenile form of Huntington’s chorea develops very quickly, death occurs after 8–10 years.

Modern medicine has no clear therapy tactics, this disease is considered incurable. The following medications may be prescribed for the treatment of children’s hyperkinesis:

  • Tetmodis – reduces motor disturbances;
  • neuroleptic agents (haloperidol, azaleptin, etc.) – reduce muscle tone, inhibit the progression of mental disorders;
  • amytriptyline, which is the antidepressant that reduces the intensity of movements and mimic disorders.


No other therapeutic prescriptions are made, because any intervention does not give any results. Patients are literally terminally ill, as a result they become uncontrollable, directionally and time-challenged, lose their memory and do not recognize any of their relatives. They must be constantly monitored, so they are most often placed in specialized psychiatric clinics.


Huntington’s chorea is a genetic defect. Therefore, when such a patient has been revealed in the family, the examination of all family members is required, and it is better to carry out pregnancy planning under the control of geneticists. Modern scientists can offer people who are at risk of having such a baby to undergo IVF or ICSI procedure, when mothers are implanted with a healthy fertilized egg.


Article author - Irina Pepenina, M.D.

Publication date: 15.10.2020

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15.10.2020
Doctors who advise on this issue:
28experience (y.)
Kovalenko Inna Dmytrivna
Kovalenko Inna Dmytrivna
Pediatric neurologist; Pediatrician
34experience (y.)
Mazepina Viktoriia Ivanivna
Mazepina Viktoriia Ivanivna
Neurologist
39experience (y.)
Shuiska Iryna Hennadiivna
Shuiska Iryna Hennadiivna
Pediatric neurologist
12experience (y.)
Trofymov Yurii Viktorovych
Trofymov Yurii Viktorovych
A general practitioner is a family doctor; Physician

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