Neuropsychiatric and young-onset as clinical determinants for a delayed Huntington’s disease diagnosis

Autor: Amin Cervantes-Arriaga, David J. García-Romero, Marco Muñuzuri-Camacho, Oscar Esquivel-Zapata, David Dávila-Ortiz de Montellano, Leticia Martínez-Ruano, Ana J. Hernández-Medrano, María A. Ruiz-Mafud, Gloria I. Cerda-Hernández, Arturo Abundes-Corona, Mayela Rodríguez-Violante
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Revista Mexicana de Neurociencia, Vol 24, Iss 2 (2023)
Druh dokumentu: article
ISSN: 2604-6180
DOI: 10.24875/RMN.22000055
Popis: Objective: This study aims to identify the possible factors that delay the time-to-diagnosis of Huntington’s disease (HD). Methods: A cross-sectional study in HD patients was carried out. Variables registered were CAG repeats, age of onset, primary symptom at onset, age of molecular diagnosis, and time-to-diagnosis, among others. Results: 107 patients (50.5% female) with a mean age of 49 ± 12.8 years (y) were included in the study. Median CAG size was 45 (38-73). Mean age of onset, mean age of molecular diagnosis, and mean time-to-diagnosis were 39 ± 12.9, 45.1 ± 12.1, and 6.4 ± 6.4 years, respectively. In the comparative analysis, the neuropsychiatric- and the young-onset groups had a longer time-to-diagnosis than the motor- and typical-onset groups (p = 0.02 and p < 0.01, respectively). In the linear regression analysis, neuropsychiatric- and young-onset were independent risk factors. Conclusions: Delayed diagnosis showed relation to neuropsychiatric- and early-onset in HD.
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