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亨廷顿舞蹈症:亨廷顿舞蹈症的神经精神表现

Huntington's disease: Neuropsychiatric manifestations of Huntington's disease.

作者信息

Goh Anita My, Wibawa Pierre, Loi Samantha M, Walterfang Mark, Velakoulis Dennis, Looi Jeffrey Cl

机构信息

Neuropsychologist, Neuropsychiatry Unit, Royal Melbourne Hospital, Parkville, VIC, and; Research Fellow, Academic Unit for Psychiatry of Old Age, The University of Melbourne, Melbourne, VIC, and; National Ageing Research Institute, Parkville, VIC, Australia.

Neuropsychiatry Registrar, Neuropsychiatry Unit, Royal Melbourne Hospital, Parkville, VIC, and; Melbourne Neuropsychiatry Centre, University of Melbourne, Melbourne, VIC, and; Northwestern Mental Health, Melbourne, VIC, Australia.

出版信息

Australas Psychiatry. 2018 Aug;26(4):366-375. doi: 10.1177/1039856218791036. Epub 2018 Jul 16.

Abstract

OBJECTIVES

Huntington's disease (HD) is a profoundly incapacitating, and ultimately fatal, neurodegenerative disease. HD is presently incurable, so the current goal is to allow affected individuals to live as well as possible with the illness, to maximise functional independence and quality of life for the person with HD, their carers and family members. This clinical update review focuses on the common neuropsychiatric manifestations in HD, and outlines and evaluates the various neuropsychiatric facets of HD, including the aetiology, symptoms and diagnosis.

CONCLUSIONS

Neuropsychiatric symptoms can precede the classic motor clinical symptoms of HD (prodromal HD) by decades, and cause significant functional impairment. HD provides key insights and understanding into the organic psychiatric disorders, including contemporary clinical insights into the process of neurodegeneration and manifestation of neuropsychiatric symptoms.

摘要

目标

亨廷顿舞蹈症(HD)是一种严重致残且最终致命的神经退行性疾病。目前HD无法治愈,因此当前目标是让患者尽可能正常地生活,使HD患者、其护理人员和家庭成员的功能独立性和生活质量最大化。本临床更新综述聚焦于HD常见的神经精神症状,并概述和评估HD神经精神症状的各个方面,包括病因、症状和诊断。

结论

神经精神症状可在HD典型运动临床症状(前驱HD)出现前数十年出现,并导致严重的功能损害。HD为器质性精神障碍提供了关键的见解和理解,包括对神经退行性变过程和神经精神症状表现的当代临床见解。

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