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Movement disorders clinical practice · 2025

How Early Does Anosognosia Begin in Huntington's Disease?

СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Bagga Krisha, Xu Allen, Hall Andrew, Kaur Japleen, Gilbert Paul E, Corey-Bloom Jody

Аннотация

BACKGROUND: Individuals with Huntington's disease (HD) commonly experience anosognosia, a lack of awareness of disease-specific deficits. However, how early anosognosia begins in the course of HD remains unclear.

OBJECTIVE: To characterize the onset of anosognosia in HD by exploring its presence/absence at various stages of disease.

METHODS: The Anosognosia Scale was given to 60 gene carriers (stratified by the HD Integrated Staging System (HD-ISS), Total Functional Capacity (TFC), CAG-Age-Product (CAP), and composite UHDRS (cUHDRS) score) as well as their study partners. Differences between informant and patient scores of ≥6 points were considered evidence of anosognosia.

RESULTS: 18% of participants in HD-ISS stage 0/1, 22% with TFC = 13, 37% who would be eligible for clinical trials (CAP score 400-500), and 23% with a cUHDRS ≥14 displayed anosognosia.

CONCLUSIONS: We conclude that anosognosia appears early in HD. This lack of awareness should dissuade against over-reliance on self-report instruments in HD clinical research.

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