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Roshan
 Rare genetic severe neurological
disorder
 Mostly affects females
 Incidence: 1 in 12,000 girls born
each year
 Dr.Andreas Rett first recognised it more than
fifty years ago………
 Bengt Hagberg, planned the publication of
article about the Rett sydrome in a widely
read English newsapaper
 Annals of Neurology(1983) described about the
complete work about Rett syndrome
 1999- Discovery of mutation in MECP2 gene
 Described in 4 stages however may overlap
between stages
 Age of appearance of symptoms varies from
child to child.
 But most commonly appears when the baby
is at age between 12 to 18 months.
 Stage 1- Early signs
 Stage 2- Regression
 Stage 3- Plateau
 Stage 4- Deterioration in
movements
 Low muscle tone (hypotonia)
 Difficulty feeding
 Unusual, repetitive hand movements or jerky
limb movements
 Delay with development of speech
 Mobility problems, such as problems sitting,
crawling and walking
 Lack of interest in toys
 Loss of the ability to use the hands
purposefully
 Social withdrawal
 Unsteadiness and awkwardness when
walking
 Problems sleeping
 Slowing of head growth
 Difficulty eating, chewing or swallowing
 Air swallowing
 Seizures
 Irregular breathing patterns may get worse
 Teeth grinding
 Heart rhythm abnormalities
 Improvements in symptoms appeared in
stage 2
 Development of a spinal curve(Scoliosis)
 Muscle weakness and spasticity
 Losing the ability to walk
 Done based on pattern of symptoms and
behavior
 Rule out other conditions like
 autism spectrum disorder
 cerebral palsy
 metabolic disorders
 prenatal brain disorders.
 Genetic blood test is useful is identifying
mutation in MECP2 gene
 Symptomatic treatment
 Standard medical care and medication
 Physical therapy
 Speech therapy
 Occupational therapy
 Good nutrition
 Behavioral therapy
 Supportive services
Rette syndrome final

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Rette syndrome final

  • 2.  Rare genetic severe neurological disorder  Mostly affects females  Incidence: 1 in 12,000 girls born each year
  • 3.  Dr.Andreas Rett first recognised it more than fifty years ago………  Bengt Hagberg, planned the publication of article about the Rett sydrome in a widely read English newsapaper  Annals of Neurology(1983) described about the complete work about Rett syndrome  1999- Discovery of mutation in MECP2 gene
  • 4.
  • 5.  Described in 4 stages however may overlap between stages  Age of appearance of symptoms varies from child to child.  But most commonly appears when the baby is at age between 12 to 18 months.
  • 6.
  • 7.  Stage 1- Early signs  Stage 2- Regression  Stage 3- Plateau  Stage 4- Deterioration in movements
  • 8.  Low muscle tone (hypotonia)  Difficulty feeding  Unusual, repetitive hand movements or jerky limb movements  Delay with development of speech  Mobility problems, such as problems sitting, crawling and walking  Lack of interest in toys
  • 9.  Loss of the ability to use the hands purposefully  Social withdrawal  Unsteadiness and awkwardness when walking  Problems sleeping  Slowing of head growth  Difficulty eating, chewing or swallowing  Air swallowing
  • 10.  Seizures  Irregular breathing patterns may get worse  Teeth grinding  Heart rhythm abnormalities  Improvements in symptoms appeared in stage 2
  • 11.  Development of a spinal curve(Scoliosis)  Muscle weakness and spasticity  Losing the ability to walk
  • 12.  Done based on pattern of symptoms and behavior  Rule out other conditions like  autism spectrum disorder  cerebral palsy  metabolic disorders  prenatal brain disorders.  Genetic blood test is useful is identifying mutation in MECP2 gene
  • 13.  Symptomatic treatment  Standard medical care and medication  Physical therapy  Speech therapy  Occupational therapy  Good nutrition  Behavioral therapy  Supportive services