What is Rett and Angelman syndrome?
Rett syndrome and Angelman syndrome are neurodevelopmental disorders characterized by severe intellectual disability, microcephaly, speech disturbance, movement disorders with gait and/or truncal ataxia, and occasionally a similar facial appearance.
Children with Angelman or Rett have low muscle tone or have "floppy" limbs and may engage in repetitive motions with their arms or hands, but Rett patients often develop normally for the first six months before regressing markedly in terms of language and motor skills.
Angelman syndrome is a genetic disorder. It causes delayed development, problems with speech and balance, intellectual disability, and, sometimes, seizures. People with Angelman syndrome often smile and laugh frequently, and have happy, excitable personalities.
Rett syndrome is a rare genetic neurological and developmental disorder that affects the way the brain develops. This disorder causes a progressive loss of motor skills and language. Rett syndrome primarily affects females. Most babies with Rett syndrome seem to develop as expected for the first six months of life.
Prognosis and Life Expectancy
The life expectancy of people with Angelman syndrome is normal.
Symptoms of Rett syndrome vary, and can be mild or severe. A child may have uncontrolled hand movements, and trouble eating and swallowing. They may lose their ability to walk or speak, or have seizures.
Males with Rett syndrome or MECP2-related disorders are very rare. Recruiting sufficient numbers of males for clinical trials is a challenge. There are slightly over 60 male patients with MECP2 gene changes reported in literature, though there are probably more unreported males with MECP2 mutations.
The current view states that Angelman syndrome is considered a 'syndromic' form of autism spectrum disorder19. Different deletion classes (class I versus class II) in Angelman syndrome have further been shown to range in the severity score for autism spectrum disorders20.
Children with Angelman syndrome typically have a happy, excitable demeanor with frequent smiling, laughter, and hand-flapping movements. Hyperactivity and a short attention span are common. Most affected children also have difficulty sleeping and need less sleep than usual.
1) Colin Farrell's Son
Developmental and intellectual delays, a lack of happiness and speech, as well as an exuberant demeanor, are features of this hereditary health issue. The family continues to raise awareness and offers encouraging words to other families.
What are the 4 stages of Rett syndrome?
- Early Onset Phase. In this phase, development stalls or stops completely. ...
- Rapid Destructive Phase. The child loses skills (regresses) quickly. ...
- Plateau Phase. ...
- Late Motor Deterioration Phase.
The syndrome is mainly caused by mutations in the MECP2 gene located on the X chromosome and whose function includes regulating the activity of many other genes. Because males have only one X chromosome, this means that a mutation in the MECP2 gene cannot be compensated by a healthy gene copy.
The vast majority (99.5%) of cases of Rett syndrome are single occurrences in a family resulting from a sporadic mutation in a single sperm. Parents tested for MECP2 mutations almost always test negative. In rare cases, however, the mutation comes from the mother's eggs.
Researchers do not fully understand why patients with Angelman syndrome are so prone to laughing. They had suggested that laughter may be related to seizures (gelastic seizures). However, no evidence supports this idea.
While the diagnostic values for this remain contentious, the IQ of adults with Angelman syndrome is usually well below 70 for cognitive ability (meaning the capacity to comprehend and reason). Generally speaking, scores below 70 represent some degree of learning or developmental disability.
Angelman syndrome cases have been reported in different countries and among people of varying ethnic origins. The majority of cases in North America have been found in people of Caucasian descent.
“Hands” are the hallmark of Rett syndrome. Symptoms can first include the loss of purposeful use of the hands, followed by repetitive hand movements like constant wringing, washing, tapping and clapping movements.
Hallmarks of Rett syndrome are severe impairments in cognition, communication, and motor skills. The gold standard for diagnosis of Rett syndrome is clinical evaluation. The overwhelming majority of those with Rett syndrome will be nonverbal and not develop functional spoken language skills.
Stage 1: early signs
Symptoms include: low muscle tone (hypotonia) difficulty feeding. unusual, repetitive hand movements or jerky limb movements.
Although Rett syndrome is a genetic disorder, less than 1% of recorded cases are passed from one generation to the next. Most cases are spontaneous, which means the mutation occurs randomly. However, in some families of individuals affected by Rett syndrome, other family members have a mutation in the MECP2 gene.
At what age is Rett syndrome usually diagnosed?
Rett syndrome is usually recognized in children between 6 to 18 months as they begin to miss developmental milestones or lose abilities they had gained.
While it is known that Rett syndrome shortens lifespan, not much is known about specific life expectancy rates for people with Rett syndrome. It generally depends on the age when symptoms first begin and their severity. On average, most individuals with the condition survive into their 40s or 50s.
In Angelman patients, anxiety is exhibited by clinginess, inability to relax, nervousness, irritability, restlessness, and crying.
Research has also found that individuals with Angelman syndrome show this preference for water-related objects/activities relative to other activities and individuals without Angelman syndrome. This may be related to sensory processing in the syndrome.
Seizures often begin between 2 and 3 years of age. Speech impairment is pronounced, with little to no use of words. Individuals with this syndrome often display hyperactivity, small head size, sleep disorders, and movement and balance disorders that can cause severe functional deficits.
References
- https://www.drakeinstitute.com/autism-misdiagnosis
- https://www.webmd.com/brain/autism/autism-spectrum-disorders
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9841621/
- https://www.uptodate.com/contents/prader-willi-syndrome-clinical-features-and-diagnosis
- http://www.intellectualdisability.info/conditions-associated-with-intellectual-disability/articles/prader-willi-syndrome-pws
- https://www.findresources.co.uk/the-syndromes/prader-willi/autism-spectrum-disorder
- https://www.nhs.uk/conditions/noonan-syndrome/characteristics/
- https://www.nichd.nih.gov/health/topics/prader-willi/conditioninfo/diagnose
- https://www.fpwr.org/what-is-prader-willi-syndrome
- https://www.nichd.nih.gov/health/topics/rett/conditioninfo/symptoms
- https://magazine.medlineplus.gov/article/rett-syndrome-an-overview-of-this-rare-genetic-disorder
- https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/noonan-syndrome
- https://www.medicinenet.com/life_expectancy_of_someone_with_noonan_syndrome/article.htm
- https://www.nhs.uk/conditions/noonan-syndrome/causes/
- https://www.rettsyndrome.org/about-rett-syndrome/faqs/
- https://cpdonline.co.uk/knowledge-base/safeguarding/prader-willi-syndrome/
- https://ipwso.org/information-for-families/sexual-development/
- https://medlineplus.gov/genetics/condition/angelman-syndrome/
- https://www.kennedykrieger.org/sites/default/files/library/documents/community/specialized-health-needs-interagency-collaboration-shnic/factsheets-medical-conditions/Rett%20Syndrome%20Factsheet%202020.pdf
- https://www.nhs.uk/conditions/prader-willi-syndrome/
- https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/prader-willi-syndrome
- https://ojrd.biomedcentral.com/articles/10.1186/s13023-019-1214-2
- https://www.ncbi.nlm.nih.gov/books/NBK532269/
- https://www.ncbi.nlm.nih.gov/books/NBK560870/
- https://pubmed.ncbi.nlm.nih.gov/14556249/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747413/
- https://link.springer.com/10.1007/978-1-4614-4788-7_195
- https://www.goldmancenter.org/what-does-rett-syndrome-look-like/
- https://www.news-medical.net/health/Noonan-Syndrome-Symptoms.aspx
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6688622/
- https://my.clevelandclinic.org/health/diseases/17978-angelman-syndrome
- https://www.drugs.com/condition/noonan-s-syndrome.html
- https://jamanetwork.com/journals/jamapediatrics/fullarticle/508692
- https://www.nichd.nih.gov/health/topics/rett/conditioninfo/types
- https://www.cshl.edu/siblings-with-autism-share-more-of-dads-genome-not-moms/
- https://www.ninds.nih.gov/health-information/disorders/rett-syndrome
- https://www.ncbi.nlm.nih.gov/books/NBK1330/
- https://www.mayoclinic.org/diseases-conditions/angelman-syndrome/symptoms-causes/syc-20355621
- https://www.nichd.nih.gov/health/topics/rett/conditioninfo/causes
- https://www.nationwidechildrens.org/conditions/health-library/rett-syndrome-in-children
- https://www.childrenshospital.org/conditions/angelman-syndrome
- https://reverserett.org/genetics-primer/
- https://www.nichd.nih.gov/health/topics/prader-willi/conditioninfo/causes
- https://link.springer.com/chapter/10.1007/978-3-030-98171-6_9
- https://www.sciencedirect.com/topics/biochemistry-genetics-and-molecular-biology/angelman-syndrome
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791119/
- https://www.medicalhomeportal.org/diagnoses-and-conditions/prader-willi-syndrome
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4864201/
- https://www.mayoclinic.org/diseases-conditions/rett-syndrome/symptoms-causes/syc-20377227
- https://www.frontiersin.org/articles/10.3389/fpsyt.2020.594934
- https://www.medicalnewstoday.com/articles/rett-syndrome-in-males
- https://www.nhs.uk/conditions/prader-willi-syndrome/symptoms/
- https://www.nhs.uk/conditions/prader-willi-syndrome/living-with/
- https://ojrd.biomedcentral.com/articles/10.1186/s13023-022-02519-y
- https://kidshealth.org/en/parents/noonan-syndrome.html
- https://www.findresources.co.uk/the-syndromes/angelman/mood-interest
- https://www.childrenshospital.org/conditions/rett-syndrome
- https://www.angelman.org/what-is-as/
- https://www.verywellhealth.com/angelman-syndrome-overview-4171630
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9740001/
- https://www.opwsa.com/what-is-pws
- https://www.nhs.uk/conditions/noonan-syndrome/
- https://www.fpwr.org/social-skills-and-prader-willi-syndrome
- https://www.uab.edu/uabmagazine/spring2008/features/minority-report/syndromes
- https://www.rettsyndrome.org/about-rett-syndrome/boys-with-rett/
- https://www.sciencedirect.com/science/article/pii/0021992482900028/pdf?md5=fff32969f4b40837cc87dacd52535270&pid=1-s2.0-0021992482900028-main.pdf
- https://www.frontiersin.org/articles/10.3389/fendo.2021.737893
- https://angelmansyndromenews.com/health-insights/how-common-is-angelman-syndrome/
- https://rettsyndromenews.com/life-expectancy/
- https://www.livi.co.uk/medical-advice/general-health/prader-willi-syndrome/
- https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/angelman-syndrome
- https://angelmansyndromenews.com/symptoms-of-angelman-syndrome/
- https://www.psychiatrist.com/news/a-reason-for-hope-in-rett-syndrome-new-medications-novel-gene-therapies/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010090/
- https://www.pws.org.nz/support-management/sexual-development
- https://rettsyndromenews.com/rett-syndrome-in-males/
- https://rarediseases.org/rare-diseases/noonan-syndrome/
- https://www.chop.edu/conditions-diseases/noonan-syndrome
- https://www.spectrumnews.org/wiki/angelman-syndrome/
- https://www.mayoclinic.org/diseases-conditions/noonan-syndrome/diagnosis-treatment/drc-20354428
- https://www.mayoclinic.org/diseases-conditions/prader-willi-syndrome/symptoms-causes/syc-20355997
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5710841/
- https://www.rett.ca/rett-syndrome-in-males/
- https://angelmansyndromenews.com/health-insights/laughter-and-happy-demeanor-of-angelman-patients/
- https://www.nhs.uk/conditions/angelman-syndrome/
- https://www.nhs.uk/conditions/noonan-syndrome/treatment/
- https://web.ub.edu/en/web/actualitat/w/found-in-amish-a-genetic-mutation-causing-mental-retardation-similar-to-angelman-syndrome-
- https://theplaceforchildrenwithautism.com/diagnosing-autism/the-three-levels-of-autism
- https://www.sportskeeda.com/health-and-fitness/famous-people-angelman-syndrome-celebrities-living-disability
- https://www.spectrumnews.org/news/traits-in-mothers-may-signal-gene-variants-for-autism/
- https://www.rarediseaseadvisor.com/hcp-resource/prader-willi-syndrome-life-expectancy/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3261277/
- https://www.webmd.com/brain/autism/autism-similar-conditions
- https://noonansyndrome.com.au/autism-and-noonan-syndrome/
- https://www.negenetics.org/sites/default/files/media/2021-05/printable-noonan.pdf
- https://www.rettsyndrome.org/about-rett-syndrome/what-is-rett-syndrome/
- https://www.umass.edu/molvis/workshop/slides/rett/rett.htm
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6770999/
- https://www.nhs.uk/conditions/prader-willi-syndrome/diagnosis/
- https://medlineplus.gov/genetics/condition/rett-syndrome/
- https://medlineplus.gov/genetics/condition/noonan-syndrome/
- https://www.sciencedaily.com/releases/2012/04/120417143812.htm
- https://www.pws.org.nz/support-management/dietary-management
- https://www.nhs.uk/conditions/rett-syndrome/
- https://www.eccm.org/blog/fact-or-fiction-are-there-different-types-of-autism
- https://www.mayoclinic.org/diseases-conditions/noonan-syndrome/symptoms-causes/syc-20354422
- https://www.brainfacts.org/diseases-and-disorders/neurological-disorders-az/diseases-a-to-z-from-ninds/angelman-syndrome
- https://www.healthline.com/health/childrens-health/noonan-syndrome
- https://pubmed.ncbi.nlm.nih.gov/9556704/
- https://medlineplus.gov/genetics/condition/prader-willi-syndrome/
- https://angelmansyndromenews.com/health-insights/prenatal-genetic-diagnosis-angelman-syndrome/