There is no "cure" for Coffin-Lowry Syndrome. However, specific symptoms, developmental delays and behaviors can be treated or addressed. A developmental evaluation should be done to determine if delays exist. Your physician can refer you to a center in your area serving developmentally disabled children, associations for intellectually disabled citizens, and in the special education departments of local school districts. If delays are noted, the child should be enrolled in an appropriate setting answering his specific needs. This often requires a "team approach" that includes physician, speech and language therapy, occupational therapy, physical therapy and vocational training. As with all children, early mental stimulation is important for brain development and especially so for children with CLS.
Your child should have regular medical examinations to watch his or her progress. Since you see your child every day, you may notice that something is different before your family doctor will. You can keep an eye out for scoliosis by having your child stand in front of you, facing away from you, and then have him or her touch their toes - this will make any irregularities in the spine more obvious.. If there is any doubt, have your child examined by a physician. In CLS, scoliosis may be present as early as birth or as late as the teenage years, with the average being early grade school years. Unexplained falls ("drop episodes") may develop which are neurological in origin and may be controlled with various medications. Sleep apnea is common and if untreated, the chronic oxygen deprivation can cause cardiac problems and loss of cognitive function. Fainting spells could be an indicator of a heart condition. If behavior problems occur, first rule out any underlying physical cause; for example, head banging may be an indication that the child is in discomfort from chronic ear infections. Bone degeneration may be alleviated or onset forestalled by a high-protein diet - research in this area is still ongoing.
Vision and hearing testing as appropriate Cardiac studies should be done during childhood
Repeated every 5-10 years Monitor for the development of progressive kyphoscoliosis
Intervention to prevent progression as appropriate The following should be suspicion for narrowing of spinal canal or spinal cord compression injury
Attention to gait Bowel/bladder habits Expression of pain Focal neurological changes Clonus Abnormal tendon reflexes Awareness of "drop episodes"
Allows early intervention to minimize occurrence of triggering stimuli Trial of antiepileptic medication may be indicated Significant social resources may be required to support women with CLS Don't forget to "care for the caregiver". Care of special needs children may place great strain on any family and dwelling on the future may be overwhelming at times. Remember to take one day at a time, do what you can, and don't forget to live your life. Take advantage of any and all social services at your disposal. Look into respite care. Join the Coffin-Lowry Online Support forum - parents who are members of the online support forum report that just being able to talk to someone else who knows exactly what they are going through is very helpful.
![]()