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In addition, Huntington's disease manifests clinically as a triad of choreic movements, cognitive decline, and psychiatric syndromes.
One patient in the group had no signs of choreic movement, three had soft neurologic signs, and 23 had mild to more severe forms of chorea.
The reason for this is not understood completely, but is due partly to the amount of energy expended through choreic movements and the reduced intake due to dysphagia (Kent, 2004).