Angelman Syndrome | Boston Children's Hospital (2024)

What are the symptoms of Angelman syndrome?

Children with Angelman syndrome tend to have some, but not necessarily all, of the following behaviors and characteristics:

• hand flapping or walking with arms in the air
• jerky body movements
• stiffed-leg walk
• little or no speech
• attention deficitsandhyperactivity
• feeding problems, especially in infancy
• sleep problems and a need for less sleep than their peers
• delays in motor development
• drequent laughter that may occur at inappropriate times
• excitable personality
• tongue thrusting
• strabismus (crossing of the eyes)
• small head size with flatness in the back of the head
• a lower jaw that juts out
• light pigmentation in the hair skin and eyes

What causes Angelman syndrome?

Angelman syndrome is caused by a genetic mutation on chromosome 15. The name of this gene is UBE3A. Normally, people inherit one copy of the gene from each parent, and both copies become active in many areas in the body. Angelman syndrome occurs when only one copy of the gene is active in certain areas of the brain.

How do we diagnose Angelman syndrome?

There are no signs of Angelman syndrome at birth. The disorder is typically diagnosed at 6 to 12 months, when parents begin to notice developmental days such as a lack of crawling or babbling. Seizures may begin at 2 to 3 years. A doctor may suspect the disorder in children who have some of these symptoms in addition to others, such as difficulty with movement and balance, a small head size with flatness in the back, and frequent laughter.

To confirm a diagnosis of Angelman syndrome, your child's doctor will perform a combination of genetic tests that can include the following:

• chromosome analysis to examine the size, shape, and number of chromosomes in a cell
• fluorescent in situ hybridization (FISH) to see if any chromosomes are missing
• DNA methylation test to see if both copies of a gene — one from the mother and one from the father — are active
• sequencing of the ubiquitin-protein ligase E3A (UBE3A): to look for a mutation in the maternal mutation of this gene, which is a rare cause of Angelman syndrome

How do we treat Angelman syndrome?

Treatment for Angelman syndrome focuses on managing the child's medical problems and developmental delays since there is no cure to repair chromosomes. Treatment may include the following:

• anticonvulsant medication for seizures
• physical therapy to help with joint mobility and movement
• speech therapy
• occupational therapy
• behavior therapy

What is the long-term prognosis for a child with Angelman syndrome?

People with Angelman syndrome have almost normal life spans. Adults are not usually able to live on their own but can learn basic household tasks and can live in group homes. Some individuals can have jobs in which they are supervised directly.

Angelman syndrome at Boston Children's Hospital

Researchers have studied children with Angelman syndrome to determine the highest dose of a new drug that can be given without causing serious side effects. It's thought that this drug can help control some of the neurological and movement difficulties associated with the disorder, such as tremors.

Another group of researchers is investigating whether the vitamin supplements folic acid and betaine can lessen some of the symptoms of Angelman syndrome by increasing the activity of the gene involved in the disorder.