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A Matter of Perspective

Kevin Biglan, MD, MPH; Ira Shoulson, MD

Arch Neurol. 2007;64(6):783-784.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Clinical descriptions of juvenile-onset Huntington disease (HD) have been reported in at least 15 publications over the past 30 years, including the present series by Ribaï et al.^1-15 These descriptions range from case reports to series describing 112 patients, define juvenile-onset HD variably between 10 and 21 years, and draw samples from differing populations. With the exception of the Venezuelan cohort that contained both retrospective and prospective evaluations but did not focus on juvenile-onset cases, these series share one feature in common: they all represent retrospectively derived descriptions of individuals that are often obtained or reconstructed many years after onset of illness.

The current series by Ribaï et al¹ makes the salient points that juvenile onset of HD may not fit the stereotype of motor onset of rigidity and paternal inheritance. Indeed, most of the published reports indicate that cognitive and behavioral changes . . . [Full Text of this Article]

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Psychiatric and Cognitive Difficulties as Indicators of Juvenile Huntington Disease Onset in 29 Patients
Pascale Ribaï, Karine Nguyen, Valérie Hahn-Barma, Isabelle Gourfinkel-An, Marie Vidailhet, Antoine Legout, Catherine Dodé, Alexis Brice, and Alexandra Dürr
Arch Neurol. 2007;64(6):813-819.
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