ASA funds research on Angelman Syndrome

lab

Angelman Syndrome Alliance (ASA), a partnership of organizations from around the world that are focused on supporting people with Angelman Syndrome (AS) with our mission to advance groundbreaking research.

By pooling our resources, we can collectively tackle the high costs of research. Identifying the most promising projects is a complex task that our independent Scientific Advisory Board expertly handles. As a non-commercial organization, ASA ensures that our decisions are objective and focused on driving meaningful progress.

News

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Total funds for AS Research

The total funds invested in Angelman Syndrome research programs is 1.800.000,-€.

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Number of Scientific publications

ASA funded scientific publications

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Amount of ASA members

The total amount of members accross the globe are 18 members.

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Scientific Conferences

Bringing the top researchers together to exchange ideas and results.

About Us

The Angelman Syndrome Alliance (ASA) is dedicated to improving the lives of individuals affected by Angelman Syndrome through collaboration, research, and support. Founded as a coalition of organizations worldwide, ASA aims to advance scientific understanding and develop effective therapies. By pooling resources, the Alliance funds significant research projects and fosters lasting changes in treatment approaches. Our commitment extends to raising awareness, providing educational resources, and offering support to families and caregivers, ensuring a comprehensive approach to tackling the challenges associated with Angelman Syndrome.

 

Asa at conference in Vienna
Asa research grant - Financial impact 1.8 M €

ASA members

The members contribute funds to the research grants provided by the Angelman Syndrome Alliance. Many other organisations attend our annual meetings and contribute through suggestions and guidance. Please do get in contact if you are interested in membership.

ASA Associates

Parent organizations that want to become a full member but do not have the necessary means yet, are welcome as Associate members. As an associate you inform interested parties in your country about ASA projects (AS parents, therapists, doctors and scientist ), you to make a list of all important Angelman Syndrome researchers in your country and send it to the scientific board of ASA, and you make a noticeable effort to gather funding so you can participate as a full ASA member. In every country there can be only one parent organization as a representant within ASA.


Our members:

  1. Austria – Verein zur Erforschung des Angelman Syndroms
  2. Belgium – Angelman Syndrome 
  3. France – AFSA
  4. Germany – Angelman e.V.
  5. Ireland – Angelman Syndrome Ireland
  6. Israel – Israeli Angelman Syndrome Foundation
  7. Italy – ORSA
  8. Japan – The Angel Society
  9. Netherlands – Angelman Syndroom Nederland
  10. Portugal – Associação de Síndrome de Angelman Portugal 
  11. Spain – Asociacion de Syndrome Angelman
  12. Angelman UK – United Kingdom 
  13. Angelman Ukraine
  14. Angelman Czech Republic
 

 

 

Our associate members:

  1. Argentina – Angelman Argentina
  2. Hong Kong – HKASF
  3. Hungary – Magyar Angelman Szindroma Alapitvany
  4. New Zealand – New Zealand Angelman Network
Logo Austria
Austria
Logo Belgium
Belgium
Logo France
France
Logo Germany
Germany
Logo Ireland
Ireland
Logo Israel
Israel
Logo Italy
Italy
Logo Japan
Japan
Netherlands
Logo Portugal
Portugal
Logo Spain
Spain
Logo England
United Kingdom
Argentina
Argentina
Logo Hong Kong
Hong Kong
Logo Hungary
Hungary
Logo New Zealand
New Zealand
Logo Ukraine
Ukraine
Logo Czech Republic
Czech Republic

ASA Scientific Conferences

On these ASA scientific conferences Angelman researchers exchanged their latest findings and ideas
Asa at conference in Vienna

7th Scientific conference 2022, Vienna, Austria

Hosted by Austrian Angelman Research Association with Prof. Harald Sitte (Meduni Wien)

Asa Meeting Hamburg

6th Scientific conference- 2018, Hamburg, Germany

Hosted by Angelman e.V.

asa lisboa

5th Scientific conference - 2016, Lisbon, Portugal

Hosted by Angelman Portugal

Liverpool

4th Scientific Confierence – 2015, Liverpool, England

Hosted by Angelman UK

France

3rd Scientific Conference – 2014, Paris, France

Hosted by French Angelman Syndrome Association (AFSA)

Orsa

2nd Scientific Conference – 2013, Rome, Italy 2013

Hosted by ORSA

Nina Foundation board helping to raise ASA

1st Scientifc conference – 2012, Rotterdam, Netherlands

Hosted by Nina Foundation

Research & Grants

Grant 2026 winners

The Angelman Syndrome Alliance (ASA) is proud to announce the recipients of its 2026 Scientific Research Grants.

  • Prof. Ype Elgersma 
    Project: Understanding UBE3A Protein Homeostasis: Controlling UBE3A Protein Levels in the Brain

  • Dr. Carmen De Caro
    Project: From Diet to Brain: Food Supplementation and Microbiota-Linked Biomarkers in Angelman Syndrome (AS)

  • Prof. Ben Philpot
    Project: Development of Next-Generation, Peripherally-Administered ASOs to Improve Safety and Biodistribution for the Treatment of Angelman Syndrome 

ASA Grant Winners

2026 Grant Research momentum:

  • 20 NEW RESEARCH PROPOSALS submitted for ASA Grant 2026 — the highest number ever received.
  • This record reflects the growing global interest in Angelman Syndrome research and ASA’s expanding reputation as a trusted funding body.
  • Planned investment: €320.000

Completed ASA funded research

Grant yearInvestigatorsProject titleStatusPublicationsFunding ASA
2021Ilaria Tonazzini, Laura Baroncelli & Roberta BattiniInnovative brain-targeting nano-tools and imaging methods for therapeutic development in ASManuscripts published
Interim reports received
Ilaria Tonazzini 2 manuscripts since 2021
Laura 1 manuscript (this study)
170000 €
2021Simao da Rocha & Evguenia BekmanStem cell toolkit for modelling cerebella dysfunction in Angelman syndromeManuscripts published
Interim reports received
Simao da Rocha 2 manuscripts since 2021
Evgenia Bekman 2 manuscripts since 2021
170000 €
2019Ugo MayorMolecular mechanisms of Angelman SyndromeCompleted
Final report received
Manuscripts published
3 manuscripts since 2019175000 €
2019Ype ElgersmaThe role of UBE3A in gene regulation in relation to ASCompleted
Final report received
Manuscripts published
Ype Elgersma: 32 manuscripts on AS published since 2014100000 €
2019Ben PhilpotQuantifying sleep spindles from overnight EEGs as an Angelman syndrome biomarkerCompleted
Final report received
Manuscripts published
60000 €
2016Ben PhilpotQuantifying EEG abnormalities and identifying biomarkers in Angelman SyndromeCompleted
Final report received
Manuscripts published
21 manuscripts since 2016137500 €
2016Silvia Russo & Tiziana BorselloPotential therapeutic approach for synaptic deficit in Angelman syndrome: the JNK inhibitor peptideCompleted
Final report received
Manuscripts published
Silvia Russo: 2 publications since 2016
Tiziana Borsello: 1 publication (this study)
135000 €
2014Ben DistelElucidating the molecular mechanisms underlying E6AP function in the brainCompleted
Final report received
Manuscripts published
11 manuscripts on AS since 2014
2014Geeske van Woerden & Ype ElgersmaIn vivo characterisation of E6AP interacting proteinsCompleted
Final report received
Manuscripts published
Ype Elgersma: 32 manuscripts on AS published since 2014
Geeske van Woerden: 12 manuscripts on AS published since 2014

ASA Research grant winners 

We are very proud of our previous grant winners and their fantastic research projects we could finance. Find here the details on their research.

Grant 2024 Winners

Grant 2024 winners

The Angelman Syndrome Alliance (ASA) is excited to announce the 2024 Grant Calls winners.

They will be researching the following topics funded by ASA:

  • Matteo Fossati -“Investigation of genetic determinants of Angelman Syndrome pathophysiology in human neurons“.
  • Carmen de Caro – “The gut microbiota in Angelman Syndrome”.
  • Ramiro de Almeida -“A drug repurposing strategy to treat Angelman Syndrom
ASA Grant winners 2024

Dr. Ilaria Tonazzini & Dr. Laura Baroncelli

“Innovative brain-targeting nano-tools and imaging methods for therapeutic development in Angelman Syndrome (InnovAS)”

The goal of the InnovAS project is to improve future therapeutic pipelines for Angelman Syndrome (AS) by;

Working on a less invasive method to deliver antisense oligonucleotides (ASOs) to the brain, compared to intrathecal injections. The proposed brain-delivery strategy for ASOs targeting Ube3a, will be based on biocompatible nanoparticles that can be delivered non-invasively via intranasal administration.
Assess non-invasive imaging methods as an unbiased biomarker for monitoring brain function in AS.

Dr. Simão da Rocha & Dr. Evguenia Bekman

“Stem cell toolkit for modelling cerebellar dysfunction in Angelman Syndrome”

This research project will investigate the hypothesis that cerebellar dysfunction significantly influences the symptoms of AS, particularly ataxia. In a stem cell-based approach, cerebellar organoids will be generated using novel induced pluripotent stem cells (iPSCs) from patients and genetically matched controls. These “cerebellum-in-a-dish” models will help future drug discovery efforts to improve the lives of patients with Angelman syndrome.

Dr. Ype Elgersma

Dr. Ype Elgersma postulates that UBE3A plays a major role in the regulation of gene expression and sets out to identify respective genes. Department of Neuroscience – ERASMUS MC

Dr. Ben Philpot

Dr. Ugo Mayor

Dr. Ben Philpot finetunes his last discovery by looking at quantifying sleep spindles from overnight EEGs as an Angelman syndrome biomarker. Associate Director of the UNC Neuroscience Center – UNC-Chapel Hill

Dr. Ugo Mayor has a daring and novel approach to identify and validate the substrates and cofactors (including DUB enzymes) of UBE3A and to test the viability of targeting DUB enzymes as a therapeutic strategy for AS. That intrigued both scientific board as well as the international alliance of parent organizations (Angelman Syndrome Alliance – ASA). Department of Biochemistry @ University of the Basque Country UPV/EHU

Silvia Russo

“Potential therapeutic approach for synaptic deficit in Angelman syndrome: the JNK inhibitor peptide”

Recent studies have demonstrated that neurons of patients with Angelman syndrome do not work well. AS neurons show defects (deficit at the synapses) that do not allow them to communicate each other and this is at the basis of cognitive deficit in patients. In neurons of Angelman patients, special structures, called synapses, have an alterated shape and work bad. The synapses are crucial for learning, memory and cognitive functions. We want to study the mechanisms which cause this alterations in Angelman animal (mice) and human models . Partner Russo is preparing human models from patients’ blood which we will transform in stem cells and then differentiate in neurons. In particular the project is focused on a specific class of molecules, JNKs proteins which play an important role in regulate neuronal functions. Recently the partner Borsello has achieved experimental evidence on the therapeutic action of the D-JNKI1, a JNK-specific inhibitor peptide. She has preliminary data that after the treatment, synaptic alterations in neurons of models mice with Rett syndrome consistently ameliorate. It is a relevant finding considering the strong symptomatic overlap of Rett syndrome (RTT) with AS. Importantly the drug has already passed in clinical trials phase II and III for the cure of neurodegenerative diseases (ischemia)and apparently it is not toxic. The aim of this proposal is to investigate the involvement of JNK protein in the Angelman syndrome and to experiment the therapeutic effect of the D-JNKI1 peptide.

Ben Philpot 

“Quantifying EEG abnormalities and identifying biomarkers in Angelman Syndrome”

Epilepsy is common both in individuals with Angelman syndrome (~90%), and neural signatures underlying epilepsy can be measured non-invasively using electroencephalography (EEG). AS patients have characteristic EEG patterns that have been described qualitatively by clinicians but not quantified rigorously using analytical methods. There is an unmet need to quantify EEG patterns in individuals with AS, and to gain insights into the circuit-basis for these abnormalities through parallel studies in AS model mice. We hypothesize that parallel studies of human and mouse EEG in Angelman syndrome using quantitative methods will dually provide clinical biomarkers and mechanistic insight. In collaboration with the two dedicated Angelman syndrome clinics in the United States, we aim to facilitate AS clinical trials by providing objective, unbiased biomarkers.

Geeske M. van Woerden

Geeske M. van Woerden – In vivocharacterization of E6AP interacting proteins
Erasmus University Rotterdam

Ben Distel

Ben Distel – Elucidating the molecular mechanisms underlying E6AP function in the brain
Department of Neuroscience – ERASMUS MC

Why publications matter

Scientific publications

Scientific publications matter for ASA because they document the outcomes of the research we fund and that knowledge publicly available to the global scientific community.

In basic research – this is what ASA focusses funding on – this shared knowledge is what allows other scientists to build on discoveries and move the field forward. 

All scientific publications funded by ASA

#Title publicationName of publicationResearcher funded by ASAYear of publicationLink to publication
1Delta rhythmicity is a reliable EEG biomarker in Angelman syndrome: a parallel mouse and human analysisJournal of Neurodevelopmental DisordersBen Philpot2017Article
2A versatile plasmid system for reconstitution and analysis of mammalian ubiquitination cascades in yeastMicrobial CellBen Distel2018Article
3Loss of nuclear UBE3A causes electrophysiological and behavioral deficits in mice and is associated with Angelman syndromeNature NeuroscienceGeeske van Woerden, Ype Elgersma & Ben Distel2019Article
4JNK signaling activation in the Ube3a maternal deficient mouse model: its specific inhibition prevents post-synaptic protein-enriched fraction alterations and cognitive deficits in Angelman syndrome modelNeurobiology of DiseaseTiziana Borsello2020Article
5Antisense oligonucleotide treatment rescues UBE3A expression and multiple phenotypes of an Angelman syndrome mouse modelJCI insightYpe Elgersma2021Article
6Loss of nuclear UBE3A activity is the predominant cause of Angelman syndrome in individuals carrying UBE3A missense mutationsHuman Molecular GeneticsYpe Elgersma & Ben Distel2021Article
7Mono-ubiquitination of Rabphilin 3A by UBE3A serves a non-degradative functionnature - Scientific reportsYpe Elgersma & Ben Distel2021Article
8Crosslinked Chitosan Nanoparticles with Muco-Adhesive Potential for Intranasal Delivery Applications.Int. J. Mol. Sci.Laura Baroncelli & Ilaria Tonazzini2023Article
9A stem cell-based toolkit to model Angelman syndrome caused by paternal uniparental disomy of chromosome 15Human CellEvguenia P. Bekman & Simão T. da Rocha2025Article
10Generation of two pairs of induced pluripotent stem cells from Angelman syndrome patients with class I 15q11.2-q13.1 deletions and their unaffected familial controlsStem Cell ResearchEvguenia P. Bekman & Simão T. da Rocha2025Article
11Dysfunction of the Autophagy System and MDM2–p53 Axis Leads to the Accumulation of Amyloidogenic Proteins in Angelman Syndrome ModelsInt. J. Mol. Sci.Laura Baroncelli & Ilaria Tonazzini2025Article
12Crossing the finish line towards a disease-modifying treatment for Angelman syndromeJ Neurodev Disord.Matthew C. Judson, Luis Pereira de Almeida, Rebecca D. Burdine, Stormy J. Chamberlain, Benjamin E. Deverman, Ben Distel, Michael D. Ehlers, Elizabeth Jalazo, Steven A. Kushner, Mark Nespeca, Stephan J. Sanders, Martin Scheffner, Jason J. Yi, Mark J. Zylka, Ype Elgersma, Benjamin D. Philpot2026Article

Scientific Advisory Board (SAB)

The SAB plays a critical role in guiding ASA’s research priorities, ensuring that funded projects are scientifically rigorous and aligned with the organization’s mission. The Angelman Syndrome Alliance’s (ASA) Scientific Advisory Board (SAB) comprises leading experts in genetics, neurology, and related fields. 

The main role of the SAB is to oversee the review of grant applications, and to offer advice and guidance to the ASA Board and ASA members.

 

Hanoch Kaphzan
Prof. Hanoch Kaphzan
Olga Penagarikano
Prof. Olga Peñagarikano
Jill Clayton Smith
Prof. Jill Clayton Smith
Luis Pereira de Almeida
Luis Pereira de Almeida
About Prof. Hanoch Kaphzan:

Hanoch Kaphzan obtained an MD degree from Tel Aviv University. Following a few years as a combat surgeon, he specialized in psychiatry and became a board-certified psychiatrist. In addition, he graduated from a three-year program at the psychotherapy school to become a psychotherapist. Later, he obtained a PhD in neuroscience from the University of Haifa and continued his studies in neuroscience as a postdoc at New York University in New York, USA. On his return to Israel, he received a faculty position at the University of Haifa where he heads his lab. His research activity is mainly focused on two topics: the underlying cellular and molecular mechanisms of neurodevelopmental disorders with a special focus on Angelman syndrome, and the underlying cellular and molecular mechanisms of transcranial electrical neurostimulation.  (Lab website)

About Prof. Olga Peñagarikano:

Olga Peñagarikano is a Research Professor at the University of the Basque Country (UBC), Spain. She received her PhD in Human Genetics from UBC (2004) and completed a two-stage post-doctoral training at Emory University (Atlanta, USA) and at the University of California (Los Angeles, USA) working on the molecular basis and pathophysiology of neurodevelopmental disorders such as Fragile X and Autism (2004-2015). Her work received several awards including a “Top 10 Autism Research Achievements” (2011) from Autism Speaks and a NARSAD Young Investigator award (2015). Since 2015 she leads her own Research Group at UBC with focus on translational research of autism spectrum disorder and related disorders (www.penagarikanolab.org)

About Prof. Jill Clayton-Smith:

Jill Clayton-Smith graduated from the Victoria University of Manchester Medical School in 1982. After specialising in paediatrics, she entered Clinical Genetics in 1986 and undertook an MD at the Institute of Child Health London in 1989-1991. She became a Fellow of the Royal College of Physicians in 1999 and an honrary Professor of Medical Genetics in 2006.

Professor Clayton-Smith’s research interests include identifying the genetic basis and natural history of intellectual disability syndromes. 

Her clinical specialist interests are in Angelman Syndrome, a neurodevelopmental disorder, and related conditions. She has been involved in this field for over 25 years. 
(Centre for Genomic Medicine)

About Prof. Luís Pereira de Almeida:

 Luís Pereira de Almeida a prominent researcher in gene and molecular therapy for the Central Nervous System, has been a professor at the University of Coimbra since 2003. His work focuses on neurodegenerative diseases, especially Machado-Joseph disease. He leads research at CNC and CIBB and has published over 100 papers, cited over 13,000 times. He has mentored numerous postdoctoral fellows and PhD students, received numerous awards, and secured over €5 million in funding for his research projects.

ASA Board

The ASA board ensures that the goals set out are met.

From left to right:

  • Thomas Schramm (Austria) – Treasurer of ASA
  • Manuel Trocado Costa Duarte (Portugal) – President of ASA
  • Lara Chappell (France) – Research
  • Conny Schendler (Germany) – Vice-President of ASA
  • Emanuele Bedon (Italy) – Secretary 
ASA board

join ASA because

Together we can fund more research.

Scientific Board reviews the proposal research projects.

We exchange regularilly best practices.

ASA is completely independent.

become an ASA member

Any country that wants to contribute to the aims and goals of ASA is welcome. So in general every parent organisation that applies, can become a member. They have to commit to the following application process and rules.

  1. The future member fills in this form
  2. They get a ‘Mentor’ to help them with their questions (check the Mentor Program)
  3. They agree with the memo (in the future statues) and code of ethics (Check the separate documents)
  4. The board of ASA (3 board members) evaluates the application in the spirit of the above stated (only one parent organization per country can become member of ASA!!)
  5. When a country is willing to donate > € 5.000 in the grant process, they will become member of ASA
  6. When a country is willing to donate < € 5.000 they will become an associate
  7. The ASA board informs ASA members of the new members/associates.
  8. Associates can remain in this status for a maximum period of one grant (= 2 years).
    1. After 2 years the associate donates > € 5.000 per grant –> they become member
    2. After 2 years the associate donates < € 5.000 per grant –> they are not an associate of ASA anymore, an other parent organization can apply
Become a member

Rights/duties of a Member:

  • A member commits to the approved code of conduct of ASA
  • A member commits to paying their donation in time
  • A member can participate in bi-annual ASA meetings
  • A member gets at least one vote in the Grant process
  • A member can endorse ASA board members

Rights/duties of an associate:

  • An associate commits to the approved code of conduct of ASA
  • An associate commits to paying their donation the next ‘Grant Round’ or after max. 2 years
  • An associate can participate in the bi-annual ASA meetings
  • An associate does not have a vote in the Grant process
  • An associate can not endorse ASA board members

Community Advisory Board (CAB) for Angelman ​

Community Advisory Board

ASA and ASF are partnering in the ANGELMAN Community Advisory Board (CAB) which provides expert advice to all stakeholders involved in the research, development and service provision of biomedical treatments for Angelman Syndrome.

The largest worldwide Angelman Community is formed by the cooperating parent organisations in the Angelman Syndrome Alliance (International) and Angelman Syndrome Foundation (USA). Both Foundations recognize that there is a compelling need for combined efforts to advance the work that is occurring in the Angelman Syndrome pharmaceutical and biomedical research space.

Who is on the Angelman CAB?

The ANGELMAN CAB is a group of patient advocates and expert patients/carers. They utilize their professional and personal knowledge and expertise to discuss and advise on the latest developments, challenges and issues related to Angelman Syndrome.

There is an internal board of voting members when votes are required, for example if we are asked to endorse pharmaceutical and/or biomedical research. The other CAB members are there to advise and participate in crucial conversations. Each member took part in hours of training with EURORDIS to prepare them for this role. There are a total of 20 members who represent all different corners of the world including Argentina, Austria, Belgium, Canada, Czech Republic, France, Germany, Russia, Hong Kong, Hungary, Israel, Italy, Japan, Netherlands, New Zealand, Portugal, Spain, Ukraine, the United Kingdom, and the United States of America.

The ANGELMAN CAB aims are as follows

  • To guide and facilitate the research and development pipeline for Angelman Syndrome treatments to better meet the needs of patients and carers.
  • To increase access to, and justification for reimbursement of, Angelman Syndrome treatments globally.
  • To improve awareness and understanding of Angelman Syndrome, within the healthcare system, academia, industry and institutions, and among the general public.
  • To create a stronger voice for the Angelman Syndrome patient community.
  • To recruit, train and support more patient advocates and experts in Angelman Syndrome to work within individual countries and across the globe as a whole.

Community Advisory Boards (CABs) are established, operated and maintained by patient advocates and expert patients. CABs are involved in scientific as well as policy-related issues in their disease area. They provide space to discuss the latest advances, challenges and issues related to medical treatments, medical devices, and procedures under development. This is an important initiative for the Angelman Syndrome community and for people affected by Angelman Syndrome globally.

What we can provide:

  • Parent perspectives on living with and caring for individuals with Angelman Syndrome at all ages
  • Lived experience with different manifestations of Angelman Syndrome and issues unique to specific genotypes
  • Our experience with different medicine and therapies
  • Guidance on how to best communicate with individuals with Angelman Syndrome
  • Guidance on how to best conduct visits with AS individuals in the clinic
  • Feedback on trial inclusion and exclusion criteria, informed consent forms, and retention of participants
  • Assistance with evaluating the appropriateness and meaningfulness of outcome measures for individuals with Angelman Syndrome
  • Insight on regulatory contexts in different countries
  • Assistance to establish contact between pharmaceutical companies and clinicians/clinics
  • Organizing webinars to enable communication between pharmaceutical companies and clinicians and/or the Angelman Syndrome community.
  • Communication with parent association members about current and upcoming studies as requested
  • Bi-directional, effective and reliable communication channel to the patients and their families.

What is Angelman Syndrome?

The characteristics used for diagnostic criteria are listed below:

Consistent (100%)

  • Developmental delay, functionally severe

  • Speech impairment, no or minimal use of words, receptive and non-verbal communication skills higher than verbal ones

  • Movement or balance disorder, usually ataxia of gait and/or tremulous movement of limbs

  • Behavioural uniqueness: any combination of frequent laughter/smiling; apparent happy demeanour; easily excitable personality, often with hand flapping movements; hypermotoric behaviour; short attention span 

Frequent (more than 80%)

  • Delayed, disproportionate growth in head circumference, usually resulting in microcephaly (absolute or relative) by age 2

  • Seizures, onset usually by 3 years of age

  • Abnormal EEG, characteristic pattern with large amplitude slow-spike waves (usually 2-3/s) facilitated by eye closure 

Associated (20-80%)

  • Flat occiput (bone at the back of the skull)

  • Occipital groove

  • Protruding tongue

  • Tongue thrusting; suck/swallowing disorders

  • Feeding problems during infancy

  • Prognathia (protruding lower jaw)

  • Wide mouth, wide-spaced teeth

  • Frequent drooling

  • Excessive chewing/mouthing behaviours

  • Strabismus

  • Hypopigmented skin, light hair and eye colour (compared to family), seen only in deletion cases

  • Hyperactive lower limb deep tendon reflexes

  • Uplifted, flexed arm position especially during ambulation

  • Increased sensitivity to heat

  • Sleep disturbance

  • Attraction to/fascination with water