Chorea and dysarthria in Huntington disease

This woman with advanced Huntington disease has severe generalized chorea and dysarthria. While seated, she attempts to restrain her involuntary movements by such maneuvers as leaning her head into her hand, restraining her arm between her head and the armrest of her chair, crossing her legs, and holding her hands together in her lap. While walking, a bald spot is apparent at the back of her head, which could be due to constant rubbing against objects. She has the characteristic dance-like gait, which gave rise to the term "chorea." (Contributed by Dr. Joseph Jankovic.)