Huntington’s disease is a progressive neurodegenerative disorder that changes brain functioning over time. It is an inherited brain disorder caused by a defective gene on a section of chromosome 4, which results in the breakdown of nerve cells in the brain. Huntington’s disease impacts movement, emotional regulation, and thinking skills.
Huntington’s disease (HD) is also sometimes called Huntington’s chorea. Chorea is a medical term for the involuntary movements that are a main symptom of this disease. This rare disorder’s symptoms typically first appear when a person is 30 to 50 years of age. Huntington’s disease is progressive, meaning its symptoms worsen over time, and it is ultimately fatal.

chance of a parent passing the affected gene onto their children
estimated prevalence of Huntington’s disease in the United States
typical age range during which noticeable symptoms begin
Huntington’s disease can affect people without a family history of the disease, but as it has a strong genetic component, this is rare. Parents with the disease have a 1 in 2 chance of passing it on to their children.
Huntington’s disease involves a mutation of the HTT gene. This gene is tasked with producing a protein called huntingtin. The exact function of this protein is not yet known, but researchers believe it plays a role in supporting the function of nerve cells in the brain.
This mutation causes DNA building blocks to be repeated in a segment of the affected gene. These repetitions create an elongated version of the huntingtin protein, fragments of which accumulate in brain cells and impair their ability to function.
Genetic testing can confirm the presence of Huntington’s disease and is typically performed after noticeable symptoms are already present.
Symptoms of Huntington’s disease often appear between the ages of 30 and 50. They significantly affect a person’s ability to function and usually include a range of movement, cognitive, and psychological issues.
Movement issues include uncontrolled movements of the arms, legs, face, head, and torso. Twitching, jerking, and writhing motions are also commonly present. These are collectively known as Huntington’s chorea. Other movement issues include impaired eye movement, balance, gait, speech, and swallowing. Muscle rigidity, stiffness, or tightening (known as contracture) are also common.
Huntington’s disease also impacts thinking skills (cognition). This includes difficulties with impulse control, reasoning, judgment, self awareness, and insight. It also involves impairments in word recall, focus, organization skills, and the ability to mentally process information.
Huntington’s disease can also affect emotional regulation, with symptoms including personality changes, depression, anxiety, anger, irritability, and obsessive-compulsive behaviors. It can lead to suicidal thoughts, social withdrawal, outbursts, low energy, and insomnia.
Weight loss is also a common symptom of Huntington’s disease, especially in its later stages.
Huntington’s disease involves a mutation of the HTT gene. This gene is tasked with producing a protein called huntingtin. The exact function of this protein is not yet known, but researchers believe it plays a role in supporting the function of nerve cells in the brain.
This mutation causes DNA building blocks to be repeated in a segment of the affected gene. These repetitions create an elongated version of the huntingtin protein, fragments of which accumulate in brain cells and impair their ability to function.
Genetic testing can confirm the presence of Huntington’s disease and is typically performed after noticeable symptoms are already present.
Diagnosing Huntington’s disease begins with a visit to your primary care physician. Your doctor will review your current symptoms and medical history in order to determine if your symptoms may be due to Huntington’s disease or another condition. For people with a family history of the disease, your doctor may refer you to a specialist or order blood work to confirm the presence of Huntington’s.
Scientists discovered the gene that causes Huntington’s disease in 1993. Researchers have since developed genetic testing to detect the variant gene in people at risk for the disease. Genetic counselors—specialists who test for genetic disorders like Huntington’s disease—can order genetic testing to verify the presence of the mutated gene that causes Huntington’s. People with a family history of Huntington’s disease who are pregnant or planning to start a family can also use genetic testing to determine their risk of passing on the affected gene.
Currently, no treatment exists to stop or reverse the progression of Huntington’s disease, but various medications can be used to manage its potential range of symptoms. Antipsychotics are used to treat symptoms of chorea and to address behavioral issues, outbursts, and hallucinations. Some medications used for this purpose include tetrabenazine, deutetrabenazine, and olanzapine. Antidepressant medications (SSRIs) are also used to treat some Huntington’s symptoms.
Treatments for Huntington’s disease are highly individualized, and it can take time to find the right medications and dosages for each person. It’s important to attend all scheduled appointments and take medications as prescribed and to report any side effects to your healthcare team.
Current Huntington’s disease research is working to understand the toxic effect huntingtin protein has on brain cells. By better understanding the specific mechanisms through which huntingtin impairs brain function, researchers hope to develop more targeted medications to counteract its effects.
Scientists often work with people who carry the Huntington’s gene for research studies in order to better understand the genetic variations that lead to the disease. Some researchers are using stem cells to study how the disease responds to new medications. Identifying biological changes that lead to the development of Huntington’s disease is another prominent area of inquiry for researchers.
New to research? Read our guide, How to Read a Research Study, to learn some tips for reading scientific publications and interpreting results.
Mayo Clinic: Huntington’s Disease
NINDS: Huntington’s Disease Fact Sheet
New Huntington’s Disease Research
Neuroinflammation: What Many Brain Diseases Have in Common
How Gene Therapy and Research Is Helping Us Treat Brain Disease

We need your help to continue to fund brain research projects and find cures. Stand with us in the fight against brain diseases and disorders.
Explore more brain disease information, research, and stories.
Discover the latest news in brain disease research, hear stories from people affected by brain disease and their caregivers, read up on brain disease-specific information, and more.
Orlena was driving with her young daughter in the car when she suffered a stroke because of a rare brain vessel disorder called Moyamoya. After two brain surgeries and six months unable to care for her daughter, Orlena began to reclaim her independence and became a Moyamoya advocate.
Read More of Orlena’s Story

At 15 years old, Zoe has been navigating her Tourette syndrome diagnosis for eight years. “I had to figure out at a young age how my emotions affect my tics, from good to awful ways. It has been frustrating to figure out on my own and learn to deal with. This was the first moment in my life where my parents couldn’t fix something for me.”
Read More of Zoe’s Story

Sasha was diagnosed with epilepsy after sustaining a soccer-related brain injury in high school. Since then, Sasha has worked to find both a treatment that controlled her seizures and a career that fulfilled her desire to care for others. “Life isn’t meant to be lived taking multiple medications and having seizures you can’t control.”
Read More of Sasha’s Story

Before frontotemporal lobe dementia, sometimes called Pick’s disease, Ken Keene Sr. was a respected community member and a handyman who could fix anything. For his oldest son and namesake Ken Keene Jr., there was nothing his father couldn’t do: “To my family, he was just that super dad. Then all of a sudden he’s reaching out for help.”
Read More of Ken’s Story

It started with a twinge. After a simple surgery and some physical therapy, Morgan wasn’t getting better. It took two more surgeries before she was diagnosed with Complex Regional Pain Syndrome (CRPS) type II.
Read More of Morgan’s Story

In 2018, Kelly was diagnosed with glioblastoma after an MRI confirmed that a golf-ball-sized tumor above her right ear was affecting the left side of her body. After surgery to remove the tumor, Kelly was able to get through her darkest days with a healthy dose of humor. Now she is an advocate for other patients living with strokes and brain tumors.
Read More of Kelly’s Story

When her father was diagnosed with vascular dementia in 2005, Nancy quickly shifted into the role of his caregiver. Nancy and her sisters drew from their individual strengths to provide their father with medical assistance and emotional support until his passing in 2012. At that time, he was diagnosed again with Lewy body dementia. “No matter what your financial situation, there’s probably going to be help out there… Just don’t do it alone, because burning yourself out is not going to help anybody.”
Read More of Nancy’s Story

Maureen worked as a high school English teacher until she started experiencing a confusing array of symptoms that affected her ability to work, along with her relationships with family and friends. After visiting numerous specialists for years, Maureen received a delayed diagnosis of Lewy body dementia. Now Maureen wants to raise awareness about what life is like with living with this disease. “I felt that I just wanted to offer something to this community that I hadn’t been able to find really.”
Read More of Maureen’s Story

For the first 32 years of his life, Joey experienced seizures from epilepsy. For several years, Joey worked hard in his career as a pipe welder and in construction until his seizures started happening more frequently and intensely. Brain surgery became Joey’s only viable option for treatment. Doctors were unsure if Joey would be able to survive after finding more brain damage than expected, but he surprised everyone by thriving during his post-surgery recovery.
Read More of Joey’s Story

At age 40, Ben was perfectly healthy and active until he started noticing the early symptoms of a neurological condition that weakened his physical movements. After a 2-year search for his diagnosis of X-linked adrenoleukodystrophy, he began his journey as an advocate for others living with rare diseases. Last year, Ben joined the board of the American Brain Foundation to further his impact.
Read More of Ben’s Story

In 2002, while her young daughter battled a fatal diagnosis of pons glioma, Michele experienced a life-threatening brain hemorrhage when a brain malformation she likely had since birth ruptured. She experienced drastic changes in the way her brain functioned, especially in regard to memory and spatial awareness. Today, Michele is still learning to adjust. “When someone’s brain is not functioning correctly it impacts everything in their life. It impacts how they think, how they feel about themselves, it’s a very hopeless space to be in as a person.”
Read More of Michele’s Story

Matt is a husband, father, and professional photographer. Over the past 11 years, he has had surgeries and radiation to remove five benign brain tumors. Following the third surgery, he began to experience more struggles in his daily life. “I think the biggest loss is my relationship to my family. They saw me as the dad and strong. Now they can’t count on me as much. It’s important to support people with brain disease ‘cause it can happen to anybody.’”
Read More of Matt’s Story

When she was in her early 30’s, Mary Jo’s relationship with her parents was forever altered by brain disease. Her father suffered a subdural hematoma, was diagnosed with diabetic neuropathy, and experienced a stroke while her mother was diagnosed with Alzheimer’s and dementia. “They’re a responsibility that I have to take care of as they have taken care of me.”
Read More of Mary Jo’s Story

Tom suffers from dystonia, a painful neurological movement disorder with no known cure. When he first started experiencing strange pains and cramps in his neck muscles, he saw chiropractors and physical therapists—but when this didn’t help, Tom started down a long and painful road to an eventual diagnosis. Before his diagnosis at 30 years old, Tom was an athlete and an entrepreneur, but as his symptoms worsened, even performing everyday tasks became a challenge. Before long, the pain became debilitating. Over time, Tom learned to accept his new limitations and focus on his physical and mental health.
Read More of Tom’s Story
