Amsterdam J D, Dubin W
J Clin Psychiatry. 1978 Jul;39(7):626-8.
Huntington's Chorea has multiple neurologic and psychiatric manifestations, and its treatment has been the subject of much debate. It appears that no single agent is effective for all patients with Chorea. Furthermore, different biochemical substances may be lacking in various Huntington's patients, i.e., gamma aminobutyric acid (GABA) in some, or a deficiency of acetylcholine (ACH) receptors in others. We approach this disease as a possible "spectrum illness," characterized by a relative deficiency of one substance, or a relative excess of another. If patients do not respond to one family of drugs, they may still benefit from a trial with another drug group.
亨廷顿舞蹈症有多种神经和精神方面的表现,其治疗一直是诸多争论的主题。似乎没有单一药物对所有舞蹈症患者都有效。此外,不同的亨廷顿病患者体内可能缺乏不同的生化物质,比如有些一些患者甲种维生素(GABA),或者另一些患者体内乙酰胆碱(ACH)受体不足。我们将这种疾病视为一种可能的“光谱疾病”,其特征是一种物质相对缺乏,或另一种物质相对过量。如果患者对某一类药物没有反应,他们仍可能从试用另一类药物中获益。