Huntington's disease

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Long history of a movement disorder.

Patient Data

Age: 50 years

MRI brain

mri

No focal intra or extraaxial collection or mass identified. The caudate heads are somewhat reduced in size, confirmed with reduced frontal horn to intercaudate distance ratio (FH/CC)= 1.7 (normal ratio 2.2 to 2.6) and intercaudate distance to the inner table ratio (CC/IT) = 0.2 (normal ratio 0.09 to 0.12). 

Conclusion: Features are consistent with the clinical diagnosis of Huntington's disease.

Case Discussion

Typical appearances of Huntington's disease, with atrophy of the caudate heads. This patient had the diagnosis established genetically. 

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