Early Intervention Support
BreadCrumbError: Unable to find a matching node for the site map (~/Configuration/SiteMap.xml) for page uri (~/diagnosis/list/hurler-syndrome.aspx).

Diagnosis for Children with Special Needs

Early Childhood Intervention

This website is a place for families who are facing challenges pertaining to their child's development and growth.

It is a place to find answers and practical suggestions. That's what Early Intervention Support is all about.

Whether a family has a child with a challenging behavior, a disability or developmental issue, childhood is short - it should be savored and enjoyed.

Learn More:

Ask a Therapist

Group of Therapists

We understand developmental milestones and the challenges of Special Needs children.  We spend a great deal of time with families understanding the inner workings of childhood routines and interactions.  Ask us about your child today!
 
Ask a Therapist

Contact Information

Mother & Baby 

Find Early Intervention Support contacts in your State.  If you have a question or comment for us, please visit our Contact page.

Hurler Syndrome

 

Back to Full List of Diagnosis

Hurler Syndrome is a rare, inherited disease of the metabolism. Children with this disease cannot break down long chains of sugar molecules called glycosaminoglycans.

Hurler Syndrome Symptoms

  • A baby with this condition may be quite large at birth and appear normal, but may have an inguinal hernia (in the groin), or his or her umbilical cord may pass through the abdomen.
  • By the end of the first year, developmental delays are evident.
  • A baby with Hurler Syndrome may initially grow taller faster than normal, and then begins to slow before the end of the first year and often ends around age 3. Usually, a baby with this condition stops developing between ages 2 and 4.
  • Language may be limited due to hearing loss.
  • Tongue may be enlarged.
  • The clear layers of the cornea become clouded and retinas may begin to degenerate.
  • Carpal tunnel syndrome (or similar compression of nerves elsewhere in the body) and restricted joint movement are common.
  • Many children develop a short body trunk and a maximum stature of less than 4 feet.
  • Distinct facial features (including flat face, depressed nasal bridge, and bulging forehead) become more evident in the second year.
  • By age 2, the ribs have widened and are oar-shaped. The liver, spleen and heart are often enlarged.
  • A child may experience noisy breathing and recurring upper respiratory tract and ear infections.
  • Feeding may be difficult for some children, and many experience periodic bowel problems.

What is the cause of Hurler Syndrome?

Hurler Syndrome is an inherited disorder.

How is Hurler Syndrome diagnosed?

Amniocentesis and chorionic villus sampling can indicate if a fetus either carries a copy of the defective gene or is affected with the disorder. Genetic counseling can help parents who have a family history of the mucopolysaccharidoses determine if they are carrying the mutated gene that causes the disorders.

Diagnosis often can be made through clinical examination of your baby and urine tests (excess mucopolysaccharides are excreted in the urine). Enzyme assays (testing a variety of cells or body fluids in culture for enzyme deficiency) are also used to provide definitive diagnosis.

Treatment of Hurlers Syndrome

Enzyme replacement therapy has proven useful in reducing non-neurological symptoms and pain.
Other treatment options include bone marrow transplantation and umbilical cord blood transplantation. These two treatments can successfully cure the mucopolysaccharidoses. Abnormal physical characteristics, except for those affecting the skeleton and eyes, can be improved, and neurologic degeneration can often be halted.

 

Back to Full List of Diagnosis

 

Learn More About Early Intervention

Therapy Options

Thankfully, there are many ways to deal with childhood developmental delays and behaviors. These include in-home services, outpatient (you take your child to a clinic), inpatient (following injury or surgery) and school based services. Which type of therapy should you choose?

Visit our Therapy Options area to learn more.

 

Return to Top