Emergence of Huntington Disease in a Man With a Premorbid Criminal Lifestyle

We present here a case in which Huntington disease (HD) was diagnosed upon forensic-psychiatric evaluation of a 34-year-old male repeat offender. Despite a family history of HD, as well as overt delusions and motor pathology, the disease had not been recognized at an earlier stage, and the patient w...

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Main Authors: Jonatan Hedlund, Thomas Masterman
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-07-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2019.00477/full
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author Jonatan Hedlund
Jonatan Hedlund
Thomas Masterman
Thomas Masterman
author_facet Jonatan Hedlund
Jonatan Hedlund
Thomas Masterman
Thomas Masterman
author_sort Jonatan Hedlund
collection DOAJ
description We present here a case in which Huntington disease (HD) was diagnosed upon forensic-psychiatric evaluation of a 34-year-old male repeat offender. Despite a family history of HD, as well as overt delusions and motor pathology, the disease had not been recognized at an earlier stage, and the patient was serving a prison sentence at the time of diagnosis. The case highlights difficulties court officials may face with regard to identifying severe psychiatric and neurological disorders in repeat offenders. Such offenders’ gradually deteriorating status could be overlooked by the court, even in cases in which a tailored judicial process is warranted. Also, the present case highlights the risk of using antipsychotic medication to treat HD, since it may worsen sufferers’ capacity to recognize emotions in others, thereby increasing the risk of altercations and criminal activity.
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spelling doaj.art-dadda1a77f3347909c2825d20d259fb42022-12-22T01:36:28ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-07-011010.3389/fpsyt.2019.00477439631Emergence of Huntington Disease in a Man With a Premorbid Criminal LifestyleJonatan Hedlund0Jonatan Hedlund1Thomas Masterman2Thomas Masterman3Department for Forensic Psychiatry, National Board of Forensic Medicine, Stockholm, SwedenDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, SwedenDepartment for Forensic Psychiatry, National Board of Forensic Medicine, Stockholm, SwedenDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, SwedenWe present here a case in which Huntington disease (HD) was diagnosed upon forensic-psychiatric evaluation of a 34-year-old male repeat offender. Despite a family history of HD, as well as overt delusions and motor pathology, the disease had not been recognized at an earlier stage, and the patient was serving a prison sentence at the time of diagnosis. The case highlights difficulties court officials may face with regard to identifying severe psychiatric and neurological disorders in repeat offenders. Such offenders’ gradually deteriorating status could be overlooked by the court, even in cases in which a tailored judicial process is warranted. Also, the present case highlights the risk of using antipsychotic medication to treat HD, since it may worsen sufferers’ capacity to recognize emotions in others, thereby increasing the risk of altercations and criminal activity.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00477/fullHuntington diseaseforensic psychiatryviolencepsychosisdementia
spellingShingle Jonatan Hedlund
Jonatan Hedlund
Thomas Masterman
Thomas Masterman
Emergence of Huntington Disease in a Man With a Premorbid Criminal Lifestyle
Frontiers in Psychiatry
Huntington disease
forensic psychiatry
violence
psychosis
dementia
title Emergence of Huntington Disease in a Man With a Premorbid Criminal Lifestyle
title_full Emergence of Huntington Disease in a Man With a Premorbid Criminal Lifestyle
title_fullStr Emergence of Huntington Disease in a Man With a Premorbid Criminal Lifestyle
title_full_unstemmed Emergence of Huntington Disease in a Man With a Premorbid Criminal Lifestyle
title_short Emergence of Huntington Disease in a Man With a Premorbid Criminal Lifestyle
title_sort emergence of huntington disease in a man with a premorbid criminal lifestyle
topic Huntington disease
forensic psychiatry
violence
psychosis
dementia
url https://www.frontiersin.org/article/10.3389/fpsyt.2019.00477/full
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