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Premanifest Huntington's disease : a study of early biomarkers

Jurgens, C.K.

Citation

Jurgens, C. K. (2011, February 1). Premanifest Huntington's disease : a study of early biomarkers. Retrieved from https://hdl.handle.net/1887/16439

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden Downloaded

from: https://hdl.handle.net/1887/16439

Note: To cite this publication please use the final published version (if applicable).

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2

Premanifest Huntington’s Disease

Caroline Jurgens

A study of early biomarkers

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Financial support for the publication of this thesis was kindly provided by the Dutch Huntington Association and the Bronovo Research Fund

PhD Thesis, Leiden University Medical Center, Leiden 2011 ISBN: 978-90-5335-366-0

© 2010, C.K. Jurgens, Den Haag

Design: Nelleke Gerlsma

Printed by: Ridderprint B.V. Ridderkerk

All rights reserved. No part of this book may be reproduced or transmitted in any from or by any means without permission of the copyright owner.

Premanifest Huntington’s Disease

A study of early biomarkers

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof.mr. P.F. van der Heijden,

volgens besluit van het College voor Promoties te verdedigen op dinsdag 1 februari 2011

klokke 15.00 uur door

Caroline Kristien Jurgens

geboren te Winschoten in 1977

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Promotiecommissie Promotores:

Prof.dr. R.A.C. Roos Prof.dr. H.A.M. Middelkoop

Co-promotor:

Dr. M.N.W. Witjes-Ané

Overige leden:

Prof.dr. A. Tibben Prof.dr. M.H. Breuning

Prof.dr. K.N. Leenders, Universitair Medisch Centrum Groningen

We zullen doorgaan, telkens als we stilstaan, om weer door te gaan (Ramses Shaffy)

Voor papa en mama

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Chapter 1 9

General introduction

Chapter 2 19

Basal ganglia volume and clinical correlates in preclinical Huntington’s disease

Chapter 3 33

Magnetisation Transfer Imaging in premanifest Huntington’s disease

Chapter 4 47

MRI T2 Hypointensities in basal ganglia of premanifest Huntington’s disease

Chapter 5 61

Memory activation reveals abnormal EEG in preclinical Huntington’s disease

Chapter 6 73

Basal ganglia volume is strongly related to P3 event-related potential in premanifest Huntington’s disease

contents

Chapter 7 89

Decreased performances on psychomotor tasks in HD premanifest carriers are due to subtle changes in both motor and cognitive functioning

Chapter 8 103

Seven-year clinical follow-up study of premanifest carriers for Huntington’s disease

Chapter 9 121

Discussion and future perspectives

Summary 131

Samenvatting 139

Dankwoord 146

Publicaties 147

Curriculum Vitae 148

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