A method of management which has evolved to match the needs of patients as they emerge, and which as far as is possible, is in accord with the evidence available at present is presented.
Clinical guidelines are systematically developed statements to help doctors and their colleagues make decisions about appropriate health care for specifi c disorders. Such guidelines ought to be properly based on published peer reviewed practice. However, there is little of this sort of help in Huntington’s disease, although the literature base is growing. This paper does not attempt to be defi nitive, rather it presents a method of management which has evolved to match the needs of patients as they emerge, and which as far as is possible, is in accord with the evidence available at present.