Rett Syndrome Diagnosis

Rett syndrome (RTT) is often associated with Autism, Cerebral Palsy It is often misdiagnosed as palsy or nonspecific developmental delay. There is a simple blood test to confirm the presence of the MECP2 mutation; however, since we know that the MECP2 mutation is also seen in other disorders, the presence of the MECP2 mutation is not sufficient for the diagnosis of Rett Syndrome.

Diagnosis requires the presence of a mutation (molecular diagnosis) or the fulfillment of diagnostic criteria (a clinical diagnosis based on observed signs and symptoms), or both. A list of diagnostic criteria is provided below.

Requirements for diagnosing Rett Syndrome

Rett syndrome should be considered when a slowdown in head growth is observed after birth.

Requirements for typical or classic RTT

Requirements for atypical or variable RTT

Rett Syndrome Diagnostic Criteria

Main Criteria

Typical exclusion criteria for RTT

Criteria for atypical RTT

Source:  International Rett Syndrome Association – www.rettsyndrome.org