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Delayed diagnosis of spinal cord injuries in Huntington’s disease
  1. Hamish D Morrison1,2,
  2. Dafydd Morgan3,
  3. Duncan J McLauchlan4,5,
  4. Catherine Clenaghan4,
  5. Anne E Rosser4,6
  1. 1 Neurology, North Bristol NHS Trust, Westbury on Trym, UK
  2. 2 Population Health Sciences, University of Bristol, Bristol, UK
  3. 3 Neurology, University Hospital of Wales, Cardiff, UK
  4. 4 Division of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff, UK
  5. 5 Neurology, Swansea Bay University Health Board, Port Talbot, UK
  6. 6 Brain Repair And Intracranial Neurotherapeutics (BRAIN) Unit, Cardiff University Cardiff School of Biosciences, Cardiff, UK
  1. Correspondence to Dr Hamish D Morrison, Neurology, North Bristol NHS Trust, Westbury on Trym, UK; hamish.morrison{at}nhs.net

Abstract

Huntington’s disease is a neurodegenerative disorder, characterised by progressive cognitive, motor and psychiatric symptoms. Patients with advanced disease presenting to emergency medical services can pose a diagnostic and management challenge for physicians unfamiliar with the condition. We describe two patients with Huntington’s disease in whom the diagnosis of traumatic spinal cord injury was delayed, discuss the role that cognitive bias and other factors played in this delay, and the lessons we can learn.

  • Huntington's

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Footnotes

  • Contributors HDM and DM drafted the manuscript and prepared the final submission. DJM, CC and AER undertook patient care and assessment and revised the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned. Externally peer reviewed by Ed Wild, London, UK.

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