Signs & Symptoms
Early signs:
• Delayed motor milestones: not sitting by 8 months, not walking by 18 months
• Asymmetrical hand movements within 1 year
• Unusual fidgeting
• Abnormal muscle tone: hypotonia, dystonia, spasticity
• Late head control, crawling, rolling
• Persistent toe walking
• Feeding difficulties
Later manifestations:
Feeding problems and drooling
GI issues: constipation, GERD, vomiting, aspiration
Recurrent chest infections
Musculoskeletal: osteopenia, osteoporosis
• Incontinence
• Visual: strabismus, squints, refractive errors, visual field defects
• Hearing defects
• Epilepsy
• Learning difficulties
• Communication problems
• Behavioural issues
• Mental health concerns
• Pain (especially MSK related)
• Sleep disturbances
• Social interaction issues