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Characterization of neuropsychiatric symptoms in a group of individuals with manifest or pre-motor Huntington’s disease in Medellín, Colombia

Published online by Cambridge University Press:  01 September 2022

D. Vasquez*
Affiliation:
Universidad de Antioquia, Grupo De Neurociencias De Antioquia, Medellin, Colombia
M. Agudelo
Affiliation:
Universidad de Antioquia, Neurología, Medellin, Colombia
C. Gomez
Affiliation:
Universidad de Antioquia, Psiquiatría, Medellin, Colombia
D. Aguillon
Affiliation:
Universidad de Antioquia, Grupo De Neurociencias De Antioquia, Medellin, Colombia
J. Quintero
Affiliation:
Universidad de Antioquia, Grupo De Neurociencias De Antioquia, Medellin, Colombia
S. Rassi
Affiliation:
Universidad de Antioquia, Grupo De Neurociencias De Antioquia, Medellin, Colombia
M. Zuluaga
Affiliation:
Universidad de Antioquia, Grupo De Neurociencias De Antioquia, Medellin, Colombia
D. Pineda
Affiliation:
Universidad de Antioquia, Grupo De Neurociencias De Antioquia, Medellin, Colombia
O. Buritica
Affiliation:
Universidad de Antioquia, Grupo De Neurociencias De Antioquia, Medellin, Colombia
F. Lopera
Affiliation:
Universidad de Antioquia, Grupo De Neurociencias De Antioquia, Medellin, Colombia
*
*Corresponding author.

Abstract

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Introduction

Huntington’s disease (HD) is a rare (1-9/100 000), inherited disease characterized by an elongated CAG repeat on chromosome 4p, leading to a degeneration of neurons. Also, psychiatric symptoms are very common in the early stage and may appear before motor symptoms.

Objectives

To characterize neuropsychiatric symptoms in a group of individuals with manifest or pre-motor Huntington’s disease in Medellín, Colombia.

Methods

Data obtained from clinical records of individuals with HD (motor-manifest or pre-motor with triplets count) evaluated for ENROLL-HD project in the Group of Neuroscience of Antioquia. We explored variables related to substances abuse, neuropsychiatric symptoms, the respective age of onset, sex, and triplet count when available.

Results

Twenty-six (53%) were women, 8% had a familiar history of psychotic illness in a first-degree relative and 88% presented motor symptoms. Also, 59% had a history of depression, 53% irritability, 57% aggressiveness, 34% apathy, 29% perseverative/obsessive behavior, 14% psychosis, and 30% mild cognitive impairment. Ten individuals (20%) had motor without neuropsychiatric symptoms. Also, thirty-seven individuals (76%) presented motor and neuropsychiatric symptoms; of these, 41% had neuropsychiatric symptoms before motor symptoms. No psychiatric symptoms were associated with the use of alcohol, cigarettes, or drugs of abuse.

Conclusions

Neuropsychiatric symptoms are highly prevalent among individuals with HD and studies oriented to create relevant knowledge for the development of advice oriented to people with this disease are necessary.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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