Table 4

Sonographic evaluation of mesencephalic raphe nuclei in patients with Huntington disease and correlation to clinical data of depressive symptoms

VariableNormal echogenicity of the brain stem raphe, n = 20Pathologic echogenicity of the brain stem raphe, n = 19p valueSensitivitySpecificity
HAM-D* score, mean (SIQR) [range]8.8 (8.3) [1–30]16.8 (7.6) [3–34]0.014*
BDI score, mean (SIQR) [range]9.3 (8.5) [0–27]14.4 (10.8) [2–39]0.031*
No. patients (grade 1/grade 0)
 Currently depressed, n = 21615 (10/5)0.00471.477.8
 Currently not depressed, n = 18144 (4/0)
 Previous depression, n = 301119 (14/5)0.00163.3100
 No previous depression, n = 990 (0/0)
 Psychiatric disturbances prior to motor symptoms, n = 17512 (9/3)0.02570.668.2
 Motor symptoms prior to psychiatric disturbances, n = 22157 (4/2)
Cumulative duration of depressive episodes, mean (SD) [range]15.5 (29.5) [0–110]39.2 (45.6) [3–120]0.007*
  • BDI = Beck Depression Inventory;18 HAM-D* = Hamilton Rating Scale for Depression with the exclusion of items 7–9, 13, and 16;19 SD = standard deviation; SIQR = semi-interquartile range ([upper – lower quartile] ÷ 2).

  • * Mann–Whitney U test.

  • Fisher exact test.