As a neurologist for Huntington’s disease and involuntary movements like chorea, I help patients and families understand this inherited brain disorder and manage symptoms with the right care plan. If you’ve noticed dance-like body movements, behavior changes, or memory loss in a family member, this page will help you know what to do next.
Hello, I’m Dr. Mitesh Chandarana
I’m a neurologist and movement disorder specialist. I regularly treat patients with chorea , fast, dance-like movements of the arms, legs, or face, which can be a symptom of Huntington’s disease.
These conditions can be confusing for patients and families. My role is to help you understand clearly, make a strong diagnosis, and offer a treatment plan that supports both movement and mental health.
What Is Huntington’s Disease?
Huntington’s disease (HD) is a chronic, progressive neurodegenerative disease, which means the nerve cells in your brain break down over time.
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- Movements (chorea, jerking, twisting)
- Memory and thinking
- Mood and behavior
It usually starts between ages 30-50, but symptoms can begin earlier or later.
It happens when a faulty gene causes certain brain cells to die early. If a parent has Huntington’s, each child has a 50% chance of getting it.
Chromosome structure showing a highlighted genetic mutation linked to Genetic Huntington’s Disease.
What Is Chorea?
Chorea means uncontrolled, dance-like movements that may affect:
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- Movement of the body
- Behaviour and memory
- Thinking, understanding, learning
- Personality
It may appear like fidgeting, twisting, or random jerks. Chorea is one of the main signs of Huntington’s, but can also be seen in:
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- Rheumatic fever (Sydenham’s chorea)
- Side effects of some medicines
- Stroke or brain injury
- Metabolic problems (thyroid, sugar, etc.)
Symptoms I Often See in Huntington’s Patients
➤ Movement Symptoms:
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- Jerky, twisting movements (chorea)
- Trouble walking or holding things
- Slurred speech
- Swallowing difficulty
- Dystonia or stiffness in later stages
➤ Mental & Behavioral Symptoms:
- Memory problems
- Mood swings, depression, or irritability
- Poor concentration
- Sleep changes
- Lack of interest or motivation
- Uncontrolled anger or suspicious thoughts
- Sexual Problems
How I Diagnose Huntington’s Disease
Diagnosis involves:
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- Clinical examination (watching movements, mood, behavior)
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- Family history review
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- Genetic testing – confirms if you have the abnormal HD gene
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- Brain MRI – to check brain shrinkage
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- Blood tests – to rule out other causes of chorea
If you suspect Huntington’s, don’t panic, I’ll guide you step-by-step.
How I Treat Huntington’s Disease & Chorea
There is no cure yet, but many treatments help manage symptoms and improve life.
1. Medicines for Movement
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- Tetrabenazine or deutetrabenazine – reduce chorea
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- Clonazepam or valproate – calm jerks or anxiety
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- Antipsychotics – control movements and mood changes
I choose the safest option based on your stage and side effects.
2. Medicines for Mood & Behavior
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- Antidepressants – for sadness or lack of energy
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- Mood stabilizers – for sudden anger or emotional ups and downs
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- Anti-anxiety tablets – to improve sleep and reduce fear
These help both patients and caregivers feel more stable.
3. Memory & Thinking Support
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- In early stages, I suggest cognitive exercises and memory tips
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- Later stages may need memory medicines and home safety planning
4. Family Counselling
Huntington’s is a family disorder, because of its genetic nature. I help families:
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- Understand risk and inheritance
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- Decide about genetic testing
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- Plan for future care and support
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- Get help from support groups and therapy if needed
5. Physical & Speech Therapy
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- To keep mobility and speech function for as long as possible
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- To improve eating, posture, and walking
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- To reduce risk of falls
Even small exercises make a big difference.
My Approach: Empathy + Clarity + Teamwork
I understand how difficult this journey can be. So I focus on:
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- Simple communication
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- Shared decision-making
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- Respecting patient dignity at every stage
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- Supporting caregivers too
You don’t need to face this alone. I’m here for you.
Frequently Asked Questions (FAQs)
Q1. Is Huntington’s disease the same as Parkinson’s?
No. Huntington’s has more involuntary, jerky movements, while Parkinson’s has stiffness and slowness. Know More
Q2. Can I get tested before symptoms start?
Yes. Genetic testing can be done in adults with family history. I recommend pre-test counseling before deciding. Know More
Q3. Is there any cure?
Not yet. But many medicines can reduce symptoms and improve daily life. Know More
Q4. Can children get Huntington’s?
Yes, in rare cases (called juvenile Huntington’s), but most people show signs in adulthood. Know More
Q5. How long can someone live with Huntington’s?
It varies. Most people live 10-20 years after symptoms start, but we can improve quality of life with early care. Know More
Let’s Plan Better Care Together
If you or someone in your family has symptoms like involuntary movements, memory loss, or mood changes, especially with a family history. I’m here to guide you gently and clearly.
Book Your Appointment Today
Call: 8866843843
Medisquare Superspeciality Hospital, Ahmedabad
