Angelman syndrome
Angelman syndrome or Angelman's syndrome (AS) is a genetic disorder that mainly affects the nervous system. Symptoms include a small head and a specific facial appearance, severe intellectual disability, developmental disability, limited to no functional speech, balance and movement problems, seizures, and sleep problems. Children usually have a happy personality and have a particular interest in water. The symptoms generally become noticeable by one year of age.
| Angelman syndrome | |
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| Other names | Angelman's syndrome |
| A five-year-old girl with Angelman syndrome. Features shown include telecanthus, bilateral epicanthic folds, small head, wide mouth, and an apparently happy demeanor; hands with tapered fingers, abnormal creases and broad thumbs. | |
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| Specialty | Medical genetics |
| Symptoms | Delayed development, unusually happy, intellectual disability, limited to no functional speech, balance and movement problems, small head, seizures |
| Usual onset | Noticeable by 6–12 months |
| Causes | Genetic (new mutation) |
| Diagnostic method | Based on symptoms, genetic testing |
| Differential diagnosis | Cerebral palsy, autism, Rett Syndrome, Prader–Willi syndrome |
| Treatment | Supportive care |
| Prognosis | Nearly normal life expectancy |
| Frequency | 1 in 12,000 to 20,000 people |
Angelman syndrome is due to a lack of function of part of chromosome 15, typically due to a new mutation rather than one inherited. Most often it is due to a deletion or mutation of the UBE3A gene on that chromosome. Occasionally it is due to the inheritance of two copies of chromosome 15 from the father and none from the mother (paternal uniparental disomy). As the father's versions are inactivated by a process known as genomic imprinting, no functional version of the gene remains. Diagnosis is based on symptoms and possibly genetic testing.
No cure is available. Treatment is generally supportive in nature. Anti-seizure medications are used in those with seizures. Physical therapy and bracing may help with walking. Those affected have a nearly normal life expectancy.
AS affects 1 in 12,000 to 20,000 people. Males and females are affected with equal frequency. It is named after British pediatrician Harry Angelman, who first described the syndrome in 1965. An older term, happy puppet syndrome, is generally considered pejorative. Prader–Willi syndrome is a separate condition, caused by a similar loss of the father's chromosome 15.