Abstract
As of 2012, almost 20 years after the discovery of the causative gene, clinical research has yet to find a disease-modifying treatment for Huntington’s disease. However, both pharmacologic and nonpharmacologic therapies are available for many of the common symptoms of the disease. Recent studies of gene-positive patients in the prodromal, not clinically diagnosable, stages of the disease, are changing our perception of when the process of neurodegeneration begins. Once disease-modifying therapies become available, the approach to the diagnosis of Huntington’s disease will likely shift from an examination-based clinical diagnosis, to one that includes a more complex combination of imaging, examination, and biomarker analysis.
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Disclosure
Conflicts of interest: M.A. Nance: is on the Scientific Review Panel for Parkinson’s Study Group; is employed by Park Nicollet Health Services and Hennepin County Medical Center; has received grant support from Huntington’s Disease Society of America, National Parkinson Foundation, Michael H. Fox Foundation, HP Therapeutics Foundation Inc., CHDI, Biotie Therapies Inc., IMPAX Pharmaceuticals, Medivation/Pfizer, Neurosearch, Phytopharm PLC, Prana Biotechnology LTD, Schering-Plough Research Institute, Schwarz Biosciences, TEVA Pharmaceuticals, and NIH/NINDS; has received honoraria from Huntingdon’s Disease Society of America, Augsburg College, American Academy of Neurology, and University of Washington; has received royalties from Oxford University Press; has received payment for development of educational presentations including service on speakers’ bureaus from Huntington’s Disease Society of America; has received travel/accommodations expenses covered or reimbursed from NIH/NINDS, CHDI, and National Parkinson Foundation.
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Nance, M.A. Therapy in Huntington’s Disease: Where Are We?. Curr Neurol Neurosci Rep 12, 359–366 (2012). https://doi.org/10.1007/s11910-012-0277-4
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DOI: https://doi.org/10.1007/s11910-012-0277-4