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Huntington disease-like 3(HDL3)

MedGen UID:
347622
Concept ID:
C1858114
Disease or Syndrome
Synonyms: HDL3; HUNTINGTON DISEASE-LIKE NEURODEGENERATIVE DISORDER, AUTOSOMAL RECESSIVE
SNOMED CT: Huntington disease-like 3 (770939009)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
 
Monarch Initiative: MONDO:0011487
OMIM®: 604802
Orphanet: ORPHA157946

Definition

A rare Huntington disease-like syndrome with characteristics of childhood-onset progressive neurologic deterioration with pyramidal and extrapyramidal abnormalities, chorea, dystonia, ataxia, gait instability, spasticity, seizures, mutism, and (on brain MRI) progressive frontal cortical atrophy and bilateral caudate atrophy. [from SNOMEDCT_US]

Clinical features

From HPO
Bowel incontinence
MedGen UID:
41977
Concept ID:
C0015732
Disease or Syndrome
Involuntary fecal soiling in adults and children who have usually already been toilet trained.
Urinary incontinence
MedGen UID:
22579
Concept ID:
C0042024
Finding
Loss of the ability to control the urinary bladder leading to involuntary urination.
Cerebellar ataxia
MedGen UID:
849
Concept ID:
C0007758
Disease or Syndrome
Cerebellar ataxia refers to ataxia due to dysfunction of the cerebellum. This causes a variety of elementary neurological deficits including asynergy (lack of coordination between muscles, limbs and joints), dysmetria (lack of ability to judge distances that can lead to under- or overshoot in grasping movements), and dysdiadochokinesia (inability to perform rapid movements requiring antagonizing muscle groups to be switched on and off repeatedly).
Chorea
MedGen UID:
3420
Concept ID:
C0008489
Disease or Syndrome
Chorea (Greek for 'dance') refers to widespread arrhythmic involuntary movements of a forcible, jerky and restless fashion. It is a random-appearing sequence of one or more discrete involuntary movements or movement fragments. Movements appear random because of variability in timing, duration or location. Each movement may have a distinct start and end. However, movements may be strung together and thus may appear to flow randomly from one muscle group to another. Chorea can involve the trunk, neck, face, tongue, and extremities.
Dystonic disorder
MedGen UID:
3940
Concept ID:
C0013421
Sign or Symptom
An abnormally increased muscular tone that causes fixed abnormal postures. There is a slow, intermittent twisting motion that leads to exaggerated turning and posture of the extremities and trunk.
Spasticity
MedGen UID:
7753
Concept ID:
C0026838
Sign or Symptom
A motor disorder characterized by a velocity-dependent increase in tonic stretch reflexes with increased muscle tone, exaggerated (hyperexcitable) tendon reflexes.
Mutism
MedGen UID:
6476
Concept ID:
C0026884
Disease or Syndrome
Inability to speak or communicate verbally past the age of typical language development.
Seizure
MedGen UID:
20693
Concept ID:
C0036572
Sign or Symptom
A seizure is an intermittent abnormality of nervous system physiology characterized by a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain.
Abnormality of speech or vocalization
MedGen UID:
11531
Concept ID:
C0037822
Disease or Syndrome
Abnormalities in the sound of a person's speech or vocalization are not necessarily associated with a known physical cause or due to stuttering or stammering.
Unsteady gait
MedGen UID:
68544
Concept ID:
C0231686
Finding
A shaky or wobbly manner of walking.
Abnormal pyramidal sign
MedGen UID:
68582
Concept ID:
C0234132
Sign or Symptom
Functional neurological abnormalities related to dysfunction of the pyramidal tract.
Abnormality of extrapyramidal motor function
MedGen UID:
115941
Concept ID:
C0234133
Sign or Symptom
A neurological condition related to lesions of the basal ganglia leading to typical abnormalities including akinesia (inability to initiate changes in activity and perform volitional movements rapidly and easily), muscular rigidity (continuous contraction of muscles with constant resistance to passive movement), chorea (widespread arrhythmic movements of a forcible, rapid, jerky, and restless nature), athetosis (inability to sustain the muscles of the fingers, toes, or other group of muscles in a fixed position), and akathisia (inability to remain motionless).
Mental deterioration
MedGen UID:
66713
Concept ID:
C0234985
Mental or Behavioral Dysfunction
Loss of previously present mental abilities, generally in adults.
Caudate atrophy
MedGen UID:
346745
Concept ID:
C1858116
Disease or Syndrome
Abnormal pyramidal tract morphology
MedGen UID:
892809
Concept ID:
C4021761
Anatomical Abnormality
Any structural abnormality of the pyramidal tract, whose chief element, the corticospinal tract, is the only direct connection between the brain and the spinal cord. In addition to the corticospinal tract, the pyramidal system includes the corticobulbar, corticomesencephalic, and corticopontine tracts.
Frontal cortical atrophy
MedGen UID:
870517
Concept ID:
C4024965
Anatomical Abnormality
Atrophy of the frontal cortex.
Flexion contracture
MedGen UID:
83069
Concept ID:
C0333068
Anatomical Abnormality
A flexion contracture is a bent (flexed) joint that cannot be straightened actively or passively. It is thus a chronic loss of joint motion due to structural changes in muscle, tendons, ligaments, or skin that prevents normal movement of joints.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVHuntington disease-like 3
Follow this link to review classifications for Huntington disease-like 3 in Orphanet.

Professional guidelines

PubMed

Paucar M, Laffita-Mesa J, Niemelä V, Malmgren H, Nennesmo I, Lagerstedt-Robinson K, Nordenskjöld M, Svenningsson P
J Neurol Sci 2023 Aug 15;451:120707. Epub 2023 Jun 10 doi: 10.1016/j.jns.2023.120707. PMID: 37379724

Recent clinical studies

Etiology

Baine FK, Peerbhai N, Krause A
J Neurol Sci 2018 Jul 15;390:200-204. Epub 2018 Apr 21 doi: 10.1016/j.jns.2018.04.031. PMID: 29801887
Peikert K, Danek A, Hermann A
Eur J Med Genet 2018 Nov;61(11):699-705. Epub 2017 Dec 16 doi: 10.1016/j.ejmg.2017.12.007. PMID: 29253590
Anderson DG, Carmona S, Naidoo K, Coetzer TL, Carr J, Rudnicki DD, Walker RH, Margolis RL, Krause A
Tremor Other Hyperkinet Mov (N Y) 2017;7:512. Epub 2017 Dec 5 doi: 10.7916/D81J9PDX. PMID: 29226019Free PMC Article
Baine FK, Krause A, Greenberg LJ
Neuroepidemiology 2016;46(3):198-202. Epub 2016 Feb 17 doi: 10.1159/000444020. PMID: 26882115
Rudnicki DD, Margolis RL
Expert Rev Mol Med 2003 Aug 22;5(21):1-24. doi: 10.1017/S1462399403006598. PMID: 14585172

Diagnosis

Paucar M, Laffita-Mesa J, Niemelä V, Malmgren H, Nennesmo I, Lagerstedt-Robinson K, Nordenskjöld M, Svenningsson P
J Neurol Sci 2023 Aug 15;451:120707. Epub 2023 Jun 10 doi: 10.1016/j.jns.2023.120707. PMID: 37379724
Saito R, Tada Y, Oikawa D, Sato Y, Seto M, Satoh A, Kume K, Ueki N, Nakashima M, Hayashi S, Toyoshima Y, Tokunaga F, Kawakami H, Kakita A
Acta Neuropathol Commun 2022 Dec 7;10(1):177. doi: 10.1186/s40478-022-01486-6. PMID: 36476347Free PMC Article
Kaur J, Parveen S, Shamim U, Sharma P, Suroliya V, Sonkar AK, Ahmad I, Garg J, Anand KS, Laskar S, Chowdhury D, Kushwaha S, Goyal V, Srivastava AK, Singh G, Faruq M
J Huntingtons Dis 2020;9(3):283-289. doi: 10.3233/JHD-200398. PMID: 32675418
Castilhos RM, Souza AF, Furtado GV, Gheno TC, Silva AL, Vargas FR, Lima MA, Barsottini O, Pedroso JL, Godeiro C Jr, Salarini D, Pereira ET, Lin K, Toralles MB, Saute JA, Rieder CR, Quintas M, Sequeiros J, Alonso I, Saraiva-Pereira ML, Jardim LB
Clin Genet 2014 Oct;86(4):373-7. Epub 2013 Oct 17 doi: 10.1111/cge.12283. PMID: 24102565
Wild EJ, Tabrizi SJ
Curr Opin Neurol 2007 Dec;20(6):681-7. doi: 10.1097/WCO.0b013e3282f12074. PMID: 17992089

Therapy

Rikos D, Marogianni C, Provatas A, Bourinaris T, Arnaoutoglou M, Stathis P, Patrinos GP, Dardiotis E, Hadjigeorgiou GM, Xiromerisiou G
Tremor Other Hyperkinet Mov (N Y) 2020 Jun 12;10:5. doi: 10.5334/tohm.61. PMID: 32775019Free PMC Article
Binawade Y, Jagtap A
J Med Food 2013 Oct;16(10):934-43. doi: 10.1089/jmf.2012.2698. PMID: 24138168
Sarbaz Y, Banae M, Gharibzadeh S
Med Hypotheses 2007;68(5):1154-8. Epub 2007 Jan 25 doi: 10.1016/j.mehy.2006.06.039. PMID: 17257771

Prognosis

Gantenbein AR, Damon-Perrière N, Bohlender JE, Chauveau M, Latxague C, Miranda M, Jung HH, Tison F
Mov Disord 2011 Sep;26(11):2123-6. Epub 2011 Jun 28 doi: 10.1002/mds.23843. PMID: 21714011
Margolis RL, O'Hearn E, Rosenblatt A, Willour V, Holmes SE, Franz ML, Callahan C, Hwang HS, Troncoso JC, Ross CA
Ann Neurol 2001 Sep;50(3):373-80. PMID: 11558794
Xiang F, Almqvist EW, Huq M, Lundin A, Hayden MR, Edström L, Anvret M, Zhang Z
Am J Hum Genet 1998 Nov;63(5):1431-8. doi: 10.1086/302093. PMID: 9792871Free PMC Article

Clinical prediction guides

Vasilkovska T, Adhikari MH, Van Audekerke J, Salajeghe S, Pustina D, Cachope R, Tang H, Liu L, Muñoz-Sanjuán I, Van der Linden A, Verhoye M
Neurobiol Dis 2023 Jun 1;181:106095. Epub 2023 Mar 22 doi: 10.1016/j.nbd.2023.106095. PMID: 36963694
Rikos D, Marogianni C, Provatas A, Bourinaris T, Arnaoutoglou M, Stathis P, Patrinos GP, Dardiotis E, Hadjigeorgiou GM, Xiromerisiou G
Tremor Other Hyperkinet Mov (N Y) 2020 Jun 12;10:5. doi: 10.5334/tohm.61. PMID: 32775019Free PMC Article
Cicchetti F, Saporta S, Hauser RA, Parent M, Saint-Pierre M, Sanberg PR, Li XJ, Parker JR, Chu Y, Mufson EJ, Kordower JH, Freeman TB
Proc Natl Acad Sci U S A 2009 Jul 28;106(30):12483-8. Epub 2009 Jul 20 doi: 10.1073/pnas.0904239106. PMID: 19620721Free PMC Article
Stevanin G, Brice A
Cerebellum 2008;7(2):170-8. doi: 10.1007/s12311-008-0016-1. PMID: 18418687
Stevanin G, Fujigasaki H, Lebre AS, Camuzat A, Jeannequin C, Dode C, Takahashi J, San C, Bellance R, Brice A, Durr A
Brain 2003 Jul;126(Pt 7):1599-603. Epub 2003 May 6 doi: 10.1093/brain/awg155. PMID: 12805114

Recent systematic reviews

Anderson DG, Walker RH, Connor M, Carr J, Margolis RL, Krause A
J Huntingtons Dis 2017;6(1):37-46. doi: 10.3233/JHD-160232. PMID: 28339400

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