Huntington's disease is an autosomal dominant neurodegenerative disord
er caused by the expansion of a (GAG), repeat in the IT15 gene. Three
per cent of cases are sporadic and in those in which family studies ha
ve been performed, the origin of the mutation was always paternal. The
first sporadic case of Huntington's disease is presented in which a p
remutated maternal allele of 37 CAG repeats was transmitted expanded t
o the proband (43 CAG repeats). Molecular analysis of the IT15 gene is
extremely important in sporadic cases of Huntington's disease, provid
ing correct diagnosis of the disorder and facilitating genetic counsel
ling to the family members.