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  1. Hormonal Imbalance: The Madness and the Message

1. Huntingtons Disease
huntingtons disease Menu. This is a webforum to discuss and comment on huntingtons disease Need advice on diet and vitamins (11/16/98) 930 PM
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Huntingtons Disease Menu
This is a webforum to discuss and comment on Huntingtons Disease. Click here to Enter a new Neurology WebForum article...
This Web Forum is not moderated in any sense. Anyone on the Internet can post articles or reply to previously posted articles, and they may do so anonymously. Therefore, the opinions and statements made in all articles and replies do not represent the official opinions of MGH and MGH Neurology. Neither is MGH or MGH Neurology responsible for the content of any articles or replies. No messages are screened for content. - Very Important Message! - Please Click Here to Read Current Posts: Oct 10, 1997 to Present Useful Websites can be found and posted here! IMPORTANT: If this page seems to be missing recently added documents, click the "Reload Page" button on your Web Browser to update the menu. Return to the main Neurology WebForum Page. These forums are maintained by the Department of Neurology at Massachusetts General Hospital
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2. Huntington's Disease - Treatment - Neurologychannel
such as constipation and incontinence can develop as a result of diet and lack of PhysicalActivity It is important for Huntington’s disease patients to be
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HUNTINGTON'S
DISEASE
Overview

Symptoms

Diagnosis

Treatment
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CONDITIONS
ADHD
ALS Alzheimer's Disease Autism ... Carpal Tunnel Syndrome Cephalic Disorders Cerebral Palsy Charcot-Marie-Tooth Disease Chronic Pain Dementia Encephalitis Epilepsy ... Guillain-Barre Syndrome Headache Huntington's Disease Hydrocephalus Lou Gehrig's Disease ... Traumatic Brain Injury Vertigo TREATMENT OPTIONS
Botulinum Toxin Therapy Epidural Injection Trigger Point Injection Vagus Nerve Stimulation RESOURCES neurologychannelMD Clinical Trials Links MDLocator ... What Is a Neurologist? Videos ABOUT US Healthcommunities.com Pressroom Testimonials print this ... email this Treatment There is no cure for Huntington's disease. Treatment focuses on reducing symptoms, preventing complications, and providing support and assistance to the patient and those close to him or her. Medication Physicians often prescribe various medications to help control emotional and movement problems.
  • Antipsychotics (hallucinations, delusions, violent outbursts): haloperidol, chlorpromazine, olanzapine (contraindicated if patient has dystonia)
  • Antidepressants (depression, obsessive-compulsive behavior): fluoxetine, sertraline hydrochloride, nortriptyline

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5. Huntington's Disease
People with Huntington s disease can have difficulty in looking the family as knowingthe disease affects someone diet suffers through difficulty in eating and
http://www.netdoctor.co.uk/diseases/facts/huntingtons.htm
NetDoctor.co.uk Home News and features News Newsletter Features Encyclopaedia Diseases Examinations Medicines Premium services SMS services StayQuit thediet Health centres Allergy and asthma Children's health Depression Eczema ... All health centres Discussion and support Discussion forums Support groups Services Ask the doctor Find a hospital Search Medline Test yourself Information About NetDoctor Commercial opportunities NetDoctor.com Huntington's disease Dr Linda Appai-Kubi , King's College Hospital and Guy's King's ST. Thomas's School of Medicine, London Dr K Ray Chaudhuri , King's College Hospital and Guy's King's ST. Thomas's School of Medicine, London
What is Huntington's disease?
Huntington's disease (HD) was described by George Huntington (1850-1916) who was born in Long Island, New York. He described this disorder in his only known written article called 'on chorea'. Huntington's disease is a genetic disorder (inherited due to a faulty gene) which usually affects people in their 40s and 50s. It primarily affects the brain, with a gradual loss of control of movement, memory and mental ability. HD is also associated with personality changes and depression as well as other mental illnesses. There is currently no cure for HD, although many strategies may be used to improve the quality of life for sufferers and their carers.

6. Huntington Disease
Introduction. What Causes huntingtons disease? How is HD Inherited The individual's physician can offer additional advice about diet and about how to handle swallowing difficulties or
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Huntington disease
FATAL AUTOSOMAL DOMINANT DISORDER
GENE IN CHROMO 4 THE DISEASE IS ASSOCIATED WITH INCREASES LENGTH OF A CAG TRIPLET [POLYGLUTAMINE] IN A GENE = HUNTINGTIN
DEGENERATION OF CHOLINERGIC AND GABAergic and ENKEPHALIN NEURONS IN THE BASAL GANGLIA AND THE CEREBRAL CORTEX [STRIATUM].Leading to increased activity of the inhibitory [GABAergic ] NEURONS FROM EXTERNAL GLOBUS PALLIDUS TO THE SUBTHALAMUS, WHICH CAUSES DECREASE IN THE GLUTAMATERGIC [EXCITATORY] NEURONAL ACTIVITY ON THE INTERNAL GLOBUS PALLIDUS. Result ia decreased inhibition on the thalamus, and the thalamus increases its excitatory [glutaminergic] effect on the cerebral cortex. Cause of the hyperkinesis. PROGRESSIVE SELECTIVE NEURAL CELL DEATH ASSOCIATED WITH:
  • PROGRESSIVE COGNITIVE DECLINE [DECREASE PSYCHOMOTOR SKILLS] CHOREOATHETOSIC [CHOREIC MOVEMENTS [DANCE LIKE MVMTS]] DEMENTIA BETWEEN 30 AND 50 YEARS OLD DEPRESSION FREQUENTLY OCCUR

ATROPHY OF THE CAUDATE NUCLEUS.:

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12. Huntington Disease
care with attention to nursing, diet, special equipment, and www.kumc.edu/hospital/huntingtons/index.html;Hereditary disease Foundation 11400 West Olympic Blvd
http://www.geneclinics.org/profiles/huntington/details.html
Huntington Disease
[HD, Huntington Chorea] Authors: Brendan Haigh, PhD
Mahbubul Huq, MD, PhD, FCCMG
Michael R Hayden, MB, ChB, PhD, FRCP(C), FRSC
About the Authors

Initial Posting:
23 October 1998 Last Revision
25 May 2004
Summary
Disease characteristics. Huntington disease (HD) is a progressive disorder of motor, cognitive, and psychiatric disturbances. The mean age of onset is 35 to 44 years and the median survival time is 15 to 18 years after onset. Diagnosis/testing. The diagnosis of HD rests on positive family history , characteristic clinical findings, and the detection of an expansion in the HD gene that is 36 CAG trinucleotide repeats Genetic counseling HD is inherited in an autosomal dominant manner. Offspring of an individual with a mutant allele have a 50% chance of inheriting the disease-causing allele Predictive testing in asymptomatic adults at 50% risk is available, but requires careful thought, including pre-test and post-test genetic counseling , as no treatment exists. Asymptomatic at-risk minor children should not have predictive testing . Although infrequently requested

13. Huntingtons
Aging. The study is the first to suggest that changes in diet can havean effect on the course of Huntington s disease. If decreasing
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Fasting May Stave Off Huntington's Disease
Mouse study shows cutting back on calories, meals may delay start of disease MONDAY, Feb. 10 Cutting back on the number of meals and calories consumed helped delay the onset of Huntington's disease in mice and extended the lives of those with the disease. That kind of fasting also protects nerve cells from genetically induced damage, says new research from the U.S. National Institute on Aging. The study is the first to suggest that changes in diet can have an effect on the course of Huntington's disease. If decreasing food intake has the same effect on humans, low-calorie diets or diets that feature reduced meal frequency may help delay the onset of Huntington's disease and extend the lives of people with the disease.

14. Huntington's Disease
a person diagnosed with HD maintains a high calorie diet, not only Huntington sDisease Home Page. http//www.macalester.edu/~psych/whathap/UBNRP/Huntington
http://www.lib.uchicago.edu/~rd13/hd/huntingtons.html
Huntington's Disease
By Karen Monte
Huntington's Disease (HD) is a dominant genetic disorder. Each child of a person who has HD has a 50% chance of inheriting the disease, and the disease does not skip a generation. HD is caused by a larger than normal CAG repeat in the Huntington gene. This larger than normal CAG repeat produces an abnormal protein that begins to kill brain cells when the person who has the gene reaches middle age. The loss of these cells causes intense symptoms and eventually death. HD was named after Dr. George Huntington. In 1872, he was the first person to document an accurate description of the symptoms and course of the disease. At the time he called it “hereditary chorea”. The Huntington gene was discovered in 1993 by the Huntington Study Group. The CAG repeats in the Huntington gene, which is located on chromosome 4, code for the protein huntingtin. The larger than normal number of CAGs in a person with HD causes the huntingtin protein to be abnormal, which leads to symptoms. Even though every cell in the body has the gene, only the cells in the brain seem to be affected. A person has two alleles for every gene. One allele is inherited from the mother and one allele is inherited from the father. If either allele of the Huntington gene has the larger than normal CAG repeat, the person will have HD. If neither allele has the larger than normal CAG repeat, the person will not have HD and will not pass it on. When a person has children, only one allele of each gene is passed on. If a person with HD passes on the allele with the larger than normal CAG repeat, the child will have HD. If the allele with the normal CAG is passed on, the child will not have HD.

15. What Is Huntingtons Disease
A high calorie diet can prevent weight loss and improve symptoms such as The Huntington sDisease Association produces a full range of literature that looks at
http://www.hda.org.uk/charity/whatishd.html
The information contained on this page is available as a Fact Sheet which you can download from our Fact Sheet page. H untington's disease, which is often called HD, is an hereditary disorder of the central nervous system. It used to be known as Huntington's Chorea or HC. Huntington's disease usually develops in adulthood and can cause a very wide range of symptoms. The disease affects both men and women.
Page Sections:
What causes Huntington's disease?
Huntington's disease is caused by a faulty gene on chromosome 4. The gene, which produces a protein called Huntingtin, was discovered in 1993. In some way - which is not yet understood - the faulty gene leads to a damage of the nerve cells in areas of the brain, including the the basal ganglia and cerebral cortex. This leads to gradual physical, mental and emotional changes.

16. OTdirect Occupational Therapy Revision Notes: Huntington's Disease
diet needs considerable attention, given the tendency toward weight loss, and Seethe Huntington s disease Association factsheet (in PDF format) on Seating
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Occupational Therapy Revision Notes:
Huntington's Disease (HD)
Please note: This is a basic revision aid, not a comprehensive and reliable statement of medical fact. These notes should not be used to guide treatment. For reliable information and advice, consult a qualified practitioner. (Last updated: 19 March 2001)
Prevalence
1:20000 worldwide, all ethnic groups. Some reports say 1:10000.
Age at onset
Usually 30-55 years old, but can be earlier or later.
Cause
Autosomal dominant genetic disorder ( i.e. if one parent has HD, there is a 50% chance of each child developing HD). See our separate guide to genetic conditions for a fuller explanation of genetic transmission. The gene for HD is on chromosome 4 and is involved in producing a protein called Huntingtin, but there is little more useful information on how this leads to damage to the central nervous system.
Pathology
Caudate nucleus atrophy with generalised cerebral atrophy and atrophy of the corpus striatum. The particular mechanisms are unknown.
Presentation and symptoms
Progressive dementia with increasingly prominent choreiform movements and likely personality and behavioural changes.

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18. Index4
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Personal and Physical Care Needs In Huntingtons Disease there are cognitive changes and impairments. The cognitive areas that affect a persons performance include their speed, reasoning, planning, judgement, decision making, emotional engagement, preservation, impulse control, temper control, perception, awareness, attention, language, learning, memory and timing. Toileting Dressing Dental Care Contractures

19. ALS Treatment: Amyotrophic Lateral Sclerosis Lou Gehrigs Disease
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