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Excessive blinking as an initial manifestation of juvenile Huntington’s disease

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Abstract

Juvenile Huntington’s disease (JHD) is mostly characterized by rigidity, myoclonus, bradykinesia, dystonia and seizure. We report a 9-year-old male JHD patient presenting excessive blinking as the initial symptom two years prior to typical JHD symptoms. Genetic analysis revealed expansion of 108 CAG repeats and magnetic resonance imaging showed caudate atrophy with lateral ventricular enlargement.

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References

  1. The Huntington’s Disease Collaborative Research Group (1993) A novel gene containing a trinucleotide repeat that is expanded and unstable on Huntington’s disease chromosomes. Cell 72:971–983

    Article  Google Scholar 

  2. Nance MA (1998) Huntington disease: clinical, genetic, and social aspects. J Geriatr Psychiatry Neurol 11:61–70

    PubMed  CAS  Google Scholar 

  3. Geevasinga N, Richards FH, Jones KJ et al (2006) Juvenile Huntington disease. J Paediatr Child Health 42:552–554

    Article  PubMed  Google Scholar 

  4. Munoz E, Cervera A, Valls-Sole J (2003) Neurophysiological study of facial chorea in patients with Huntington’s disease. Clin Neurophysiol 114:1246–1252

    Article  PubMed  Google Scholar 

  5. Davous P (1985) Blink rates in Huntington’s disease. Neurology 35:449

    PubMed  CAS  Google Scholar 

  6. Bentivoglio AR, Daniele A, Albanese A et al (2006) Analysis of blink rate in patients with blepharospasm. Mov Disord 21:1225–1229

    Article  PubMed  Google Scholar 

  7. Tulen JH, Azzolini M, de Vries JA et al (1999) Quantitative study of spontaneous eye blinks and eye tics in Gilles de la Tourette’s syndrome. J Neurol Neurosurg Psychiatry 67:800–802

    PubMed  CAS  Google Scholar 

  8. Jankovic J (2001) Differential diagnosis and etiology of tics. Adv Neurol 85:15–29

    PubMed  CAS  Google Scholar 

  9. Sallee FR, Nesbitt L, Jackson C et al (1997) Relative efficacy of haloperidol and pimozide in children and adolescents with Tourette’s disorder. Am J Psychiatry 154:1057–1062

    PubMed  CAS  Google Scholar 

  10. Elston JS, Granje FC, Lees AJ (1989) The relationship between eye-winking tics, frequent eye-blinking and blepharospasm. J Neurol Neurosurg Psychiatry 52:477–480

    Article  PubMed  CAS  Google Scholar 

  11. The Epidemiological Study of Dystonia in Europe Collaborative Group (2000) A prevalence study of primary dystonia in eight European countries. J Neurol 247:787–792

    Article  Google Scholar 

  12. Jankovic J, Ford J (1988) Blepharospasm and orofacial-cervical dystonia: clinical and pharmacological findings in 100 patients. Ann Neurol 13:402–411

    Article  Google Scholar 

  13. Töpper R, Schwarz M, Lange HW et al (1998) Neurophysiological abnormalities in the Westphal variant of Huntington’s disease. Mov Disord 13:920–928

    Article  PubMed  Google Scholar 

  14. Karson CN (1983) Spontaneous eye-blink rates and dopaminergic systems. Brain 106:643–653

    Article  PubMed  Google Scholar 

  15. Kimber TE, Thompson PD (2000) Increased blink rate in advanced Parkinson’s disease: a form of “off”-period dystonia? Mov Disord 15:982–985

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Jinsheng Zeng.

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Xing, S., Chen, L., Chen, X. et al. Excessive blinking as an initial manifestation of juvenile Huntington’s disease. Neurol Sci 29, 275–277 (2008). https://doi.org/10.1007/s10072-008-0981-7

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  • DOI: https://doi.org/10.1007/s10072-008-0981-7

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