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Rett Syndrome Symptoms, Types, Causes, and Treatments

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Rett Syndrome is a rare genetic disorder that affects brain development, primarily in females. It’s estimated to occur in about 1 in every 10,000 to 15,000 live female births. Rett Syndrome presents unique challenges to affected individuals and their families, requiring specialized care and support. In this article, we’ll explore the types, signs, symptoms, causes, prevention, treatment, diagnosis, and potential home remedies for Rett Syndrome.

Types of Rett Syndrome

Types of Rett Syndrome

There is one primary type of Rett Syndrome, which is classic or typical Rett’s disorder. However, there are also atypical variants, which include preserved speech variants, congenital variants, and early seizure variants. These variants may present with different symptoms and severity levels, but they are all related to mutations in the MECP2 gene.

There are two main types of Rett’s disorder: Classic and Atypical. The two types may differ by their symptoms or by the specific gene mutation.

  1. Classic Rett Syndrome: It involves a period of normal development followed by loss of acquired skills, particularly in motor and language functions, typically between 6 months and 2 years of age. Symptoms include repetitive hand movements, difficulties with walking and coordination, seizures, breathing irregularities, and intellectual disability.
  2. Atypical Rett Syndrome: This encompasses a broader range of symptoms and presentations compared to classic Rett’s disorder. It may include some but not all of the classical symptoms, and may also have additional features not commonly associated with classic Rett’s disorder. Variations include preserved speech variant, congenital variant, and early seizure variant. Diagnosis can be more challenging due to the variability in symptoms.

Signs and Symptoms

Signs and Symptoms

The signs and symptoms of Rett Syndrome typically become apparent between 6 months and 2 years of age, after a period of apparently normal development. Common signs and symptoms include:

  1. Loss of motor skills: Children with Rett’s disorder often experience a loss of purposeful hand skills such as grasping objects and using them purposefully.
  2. Language and communication difficulties: Many individuals with Rett’s disorder do not develop spoken language, and those who do may lose the ability to speak over time.
  3. Social and cognitive impairments: Children with Rett’s disorder may have difficulty with social interactions and may exhibit repetitive movements or behaviors.
  4. Breathing problems: Individuals with Rett’s disorder may experience irregular breathing patterns, breath-holding episodes, and hyperventilation.
  5. Scoliosis: A significant number of individuals with Rett’s disorder develop scoliosis, an abnormal curvature of the spine.

Causes of Rett Syndrome

Causes of Rett Syndrome

Rett Syndrome is primarily caused by mutations in the MECP2 gene, which is located on the X chromosome. The majority of cases are sporadic, meaning they occur randomly and are not inherited from parents. However, in rare cases, Rett’s disorder can be inherited if there is a family history of the disorder or if a parent carries the mutated gene.

How Is Rett Syndrome Different From Autism?

Both conditions can make it hard to communicate and socialize.

But there are key differences:

  • Rett syndrome usually happens in girls, while autism spectrum disorder is much more common in boys.
  • Some symptoms of Rett’s disorder don’t happen with autism spectrum disorder. These include slowed rate of head growth, loss of hand skills, less mobility, and irregular breathing.
  • A child with Rett syndrome usually prefers people more than objects and likes when you show them affection. The opposite can be true in a child with autism spectrum disorder.

Prevention

As Rett Syndrome is primarily caused by genetic mutations, there are currently no known methods for preventing its occurrence. However, genetic counseling may be beneficial for families with a history of Rett’s disorder or other genetic disorders.

Treatment of Rett Syndrome

Treatment of Rett Syndrome

Currently, there is no cure for Rett’s disorder. However, there are various treatments and therapies available to help manage symptoms and improve the quality of life for individuals with the disorder. These may include:

  1. Physical therapy: Helps individuals with Rett’s disorder improve motor skills, maintain mobility, and prevent complications such as scoliosis.
  2. Occupational therapy: Focuses on developing skills needed for daily activities and improving independence.
  3. Speech therapy: Aims to improve communication skills and may involve alternative communication methods such as sign language or the use of communication devices.
  4. Medications: Certain medications may be prescribed to manage symptoms such as seizures, breathing difficulties, and behavioral issues associated with Rett Syndrome.

Diagnosis

Diagnosing Rett Syndrome can be challenging, as its symptoms may overlap with other developmental disorders. Diagnosis is typically based on clinical evaluation, medical history, and genetic testing to identify mutations in the MECP2 gene.

Home Remedies and Support

Home Remedies and Support

While there are no specific home remedies for Rett Syndrome, creating a supportive environment at home can help improve the quality of life for individuals with the disorder. This may include:

  1. Establishing routines: Consistent routines and schedules can help provide structure and predictability for individuals with Rett Syndrome.
  2. Creating a sensory-friendly environment: Minimizing noise and distractions and providing sensory stimulation through activities such as music therapy or sensory play can be beneficial.
  3. Seeking support: Joining support groups or connecting with other families affected by Rett’s disorder can provide valuable emotional support and resources.
  4. Promoting physical activity: Encouraging regular physical activity appropriate for the individual’s abilities can help improve motor skills and overall health.

In conclusion, Rett Syndrome is a complex disorder that presents unique challenges for affected individuals and their families. While there is currently no cure, early intervention and appropriate therapies can help manage symptoms and improve the quality of life for individuals living with Rett’s disorder. Continued research into the underlying causes and potential treatments is essential to better understand and support those affected by this rare genetic disorder.

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You May Also Know Related to Gamma Knife
FAQ’s

Gamma Knife uses 192–201 precisely focused beams of gamma rays that converge at a single target point in the brain. This high dose of radiation damages the DNA of abnormal cells, stopping their growth or causing them to shrink, while minimizing exposure to nearby healthy tissue.

No, Gamma Knife is not a traditional surgery. It is a non-invasive outpatient procedure performed without any incision, stitches, or general anesthesia in most cases.

Gamma Knife is commonly used for:

Brain tumors (benign and malignant)
Metastatic brain lesions
Arteriovenous malformations (AVMs)
Trigeminal neuralgia
Acoustic neuromas (vestibular schwannomas)
Pituitary tumors
Certain functional disorders (like tremors)

The procedure is generally painless. Patients may feel mild pressure while the head frame (if used) is applied or may experience slight discomfort from anesthesia injections, but the treatment itself is not painful.

Depending on the condition and treatment plan, Gamma Knife may take 30 minutes to 3 hours. Most patients go home the same day.

Common side effects are usually mild and temporary, including:

Headache
Nausea
Fatigue
Mild scalp swelling or tenderness at the frame site
Rarely, some patients may experience delayed radiation effects such as brain swelling or radiation necrosis.

Most patients can return to their normal routine within 24–48 hours after the procedure.
You may feel mild fatigue for a few days.
Follow-up imaging is usually required after 1 year.

Gamma Knife has a high success rate and has been used worldwide for decades. Its effectiveness depends on the condition treated, size and location of the lesion, and overall patient health. In many cases, it offers results comparable to open surgery with fewer risks.

Yes, in some cases Gamma Knife treatment can be repeated if the disease recurs or if new lesions develop.

Yes. Gamma Knife is considered one of the safest and most precise forms of radiosurgery, with millions of patients treated globally and extensive clinical data supporting its use.

Eligibility depends on factors such as:

Size and location of the lesion
Overall health and age
Whether open surgery is too risky
A neurosurgeon and radiation oncologist will decide if Gamma Knife is the best option for you.

A detailed MRI or CT scan is performed to map the brain.
A lightweight head frame or mask is used for accuracy.
Your doctors plan the radiation dose and target areas using specialized software.

Local anesthesia is given if a head frame is used.
General anesthesia is usually not required, except for children or patients unable to remain still.

Costs vary depending on hospital, city, and condition treated. On average, Gamma Knife in India ranges from ₹1.5 lakh to ₹4.5 lakh. It is usually more affordable compared to treatment in Western countries. At AIIMS Delhi, it is much more affordable around ₹75,000 which makes it affordable for the patients in need.

AIIMS Delhi is one of the leading centres for Gamma Knife in India.

AIIMS uses the latest Gamma Knife Perfexion system.

It has successfully treated thousands of patients for brain tumors, blood vessel problems, and even eye cancers.

The treatment is done by expert neurosurgeons such as Dr. Deepak Agrawal and team.

Clinic timings for Gamma Knife OPD at AIIMS Delhi: Monday & Friday, 8:00 AM – 9:00 AM.

Cost is around ₹75,000 and is subsidized compared to private hospitals.

The whole procedure is usually done in one day:

  • Consultation & Planning – Doctors review your scans and decide the treatment.
  • Head Frame/Mask – A lightweight frame or mask is placed to keep your head still.
  • Imaging – MRI/CT scans are done to locate the exact target.
  • Treatment Planning – Specialists plan the dose and direction of radiation.
  • Gamma Knife Treatment – You lie on the machine; painless radiation beams treat the target (30 mins–3 hrs).
  • Recovery & Discharge – The frame is removed, and most patients go home the same day.
  • Follow-up – MRI after a few months to check results.

Before you get a treatment date, you need to complete a few steps:

  • OPD Registration – Visit the Neurosurgery OPD (Gamma Knife clinic at AIIMS, Mon & Fri 8–9 AM) and register.
  • Consultation with Doctor – Meet the neurosurgeon who will check your reports, MRI/CT scans, and medical history.
  • Investigations – Sometimes fresh MRI/CT or blood tests are needed for treatment planning.
  • Medical Fitness – Basic checks like blood pressure, sugar, heart condition, etc.

Financial/Insurance Approval –

  1. If using Ayushman Bharat or government schemes, you need approval papers.
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Once you receive your Gamma Knife date, you’ll need to do a few simple things before the procedure:

  • Admission Process – Report to AIIMS on the morning of your procedure and complete admission at the Neurosurgery ward/Daycare.
  • Paperwork – Carry your OPD slip, MRI/CT films, blood test reports, admission slip, and ID proof. If you are covered under Ayushman Bharat/insurance, keep those approval papers ready.
  • Consent Forms – You (or a family member) will sign consent for the procedure and anesthesia.
  • Medical Check-up – Doctors will check your BP, sugar, heart rate, and do a quick physical exam.
  • Fasting – Usually, you will be asked to not eat or drink for 6 hours before the procedure.
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  • Treatment – You are then taken to the Gamma Knife room for frame/mask placement, imaging, and treatment.

After the procedure, you’ll be observed for a few hours and most patients are discharged the same day or next morning.

No, You can have light breakfast.

Yes, you can take the medicine and then come for the treatment.