Juvenile Huntington’s disease (JHD)

Evidence-based neurology checklist on juvenile huntington’s disease (jhd): Genetics The onset age is under 21 years It accounts for 3-10% of cases of HD It is usually with paternal transmission It is associated with larger CAG repeats Phenotypes Early features Later features Magnetic resonance…

Genetics

  • The onset age is under 21 years
  • It accounts for 3-10% of cases of HD
  • It is usually with paternal transmission
  • It is associated with larger CAG repeats

Phenotypes

Early features

Later features

Magnetic resonance imaging (MRI) brain: atrophy sites

Prognosis

References

  1. Gonzalez-Alegre P, Afifi AK. Clinical characteristics of childhood-onset (juvenile) Huntington's disease: report of 12 patients and review of the literature. J Child Neurol 2006; 21:223-229.
  2. Ruocco HH, Lopes-Cendes I, Laurito TL, Li LM, Cendes F. Clinical presentation of juvenile Huntington disease. Arq Neuropsiquiatr 2006; 64:5-9.
  3. Gómez-Tortosa E, del Barrio A, García Ruiz PJ, et al. Severity of cognitive impairment in juvenile and late-onset Huntington disease. Arch Neurol 1998; 55:835-843.
  4. Lammert DB, Bang J, Stafstrom CE. Pearls & Oy-sters: Epilepsy is a key feature of pediatric-onset Huntington disease. Neurology 2023; 101:e2051-e2055.
  5. Cloud LJ, Rosenblatt A, Margolis RL, et al. Seizures in juvenile Huntington's disease: frequency and characterization in a multicenter cohort. Mov Disord 2012; 27:1797-1800.
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