Joe John Vattakatuchery, Renjith Kurien, 5 Boroughs Partnership NHS Foundation Trust, Warrington WA28WA, United Kingdom.
World J Psychiatry. 2013 Sep 22;3(3):62-4. doi: 10.5498/wjp.v3.i3.62.
Huntington's disease (HD) is a neurodegenerative disease associated with cognitive deficits. Cognitive dysfunction may be present in the early stages of the disease, even before the onset of motor symptoms. The cognitive dysfunction includes executive dysfunction, psychomotor symptoms, visuospatial deficits, perceptual deficits, memory loss and difficulty learning new skills. Acetylcholinesterase inhibitors have shown good effect in the treatment of other types of dementia and it is postulated that it might delay cognitive decline in HD. We reviewed the evidence for Acetylcholinesterase inhibitors in the treatment of cognitive decline and dementia associated with Huntington's disease. We identified 6 articles that investigated the role of Acetylcholinesterase inhibitors for treatment of cognitive deficits in Huntington's disease. Following the review, the authors concluded that there is limited evidence for the use of Acetylcholinesterase inhibitors for cognitive impairment in HD.
亨廷顿病(HD)是一种与认知功能障碍相关的神经退行性疾病。认知功能障碍可能出现在疾病的早期阶段,甚至在运动症状出现之前。认知功能障碍包括执行功能障碍、精神运动症状、视空间缺陷、知觉缺陷、记忆丧失和学习新技能困难。乙酰胆碱酯酶抑制剂在治疗其他类型的痴呆症方面显示出良好的效果,据推测它可能会延缓 HD 患者的认知能力下降。我们回顾了乙酰胆碱酯酶抑制剂治疗与亨廷顿病相关的认知功能下降和痴呆的证据。我们确定了 6 篇探讨乙酰胆碱酯酶抑制剂在治疗亨廷顿病认知缺陷中的作用的文章。在综述之后,作者得出结论,乙酰胆碱酯酶抑制剂在治疗 HD 的认知障碍方面的证据有限。