Swallowing difficulty and Huntington's disease

Posted August 3, 2014, by LaVonne Goodman, M.D.

Dysphagia, or difficulty swallowing, is a big problem in Huntington's disease (HD), but surprisingly little is known about it.  It is not known how early it begins, or how symptoms and swallowing dysfunction progress over the stages of HD.  Further, even less is known about techniques that might prevent, alleviate or treat it.  As such, we welcome the recent attention given this symptom by investigators from Europe.

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Pathological Laughter or Crying

Posted August 3, 2014 by LaVonne Goodman, M.D.

Pathological laughter or crying (shortened to PLC) refers to laughter or crying that is deemed socially inappropriate for the situation.  Often the individual will laugh or cry spontaneously for no apparent reason.  The abnormal behavior is one of impaired emotional expression.  Can this be a symptom of Huntington's disease; and if so how can it be treated?

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Treatment Guidelines for Huntington's: Who needs them?

Posted by LaVonne Goodman M.D.

During my years as an internal medicine physician, I have used standard of care guidelines for my patients with conditions like diabetes and heart disease. Guidelines are developed by experts in each disease who translate clinical trial evidence and/or expert experience into recommended care patterns for use in medical offices or at the bedside. When followed, guidelines have been central to improving the quality of care provided by all physicians whether they are specialists or generalists.   

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