Skip to main content
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1989 Jan;64(1):83–86. doi: 10.1136/adc.64.1.83

The 'happy puppet' syndrome of Angelman: review of the clinical features.

S A Robb 1, K R Pohl 1, M Baraitser 1, J Wilson 1, E M Brett 1
PMCID: PMC1791803  PMID: 2466440

Abstract

Thirty six children with typical features of Angelman's syndrome, including global developmental delay, ataxia, episodes of paroxysmal laughter, seizures, and microcephaly were studied. The series included three sibships of three affected sisters, two affected brothers, and two affected sisters, respectively. The facial appearance is characterised by a prominent jaw, a wide mouth, and a pointed chin. Tongue thrusting is common. The movement disorder consists of a wide based, ataxic gait with frequent jerky limb movements and flapping of the hands. Tone is variable in the limbs with normal reflexes, and the plantar responses are usually flexor. The syndrome is being diagnosed more often, and attention is drawn to its diagnostic aspects.

Full text

PDF
83

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abstracts of the meeting of the Clinical Genetics Society. 20 and 21 November 1987, London. (Joint meeting with the Skeletal Dysplasia Group) J Med Genet. 1988 Apr;25(4):274–283. doi: 10.1136/jmg.25.4.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Baraitser M., Patton M., Lam S. T., Brett E. M., Wilson J. The Angelman (Happy Puppet) syndrome: is it autosomal recessive? Clin Genet. 1987 May;31(5):323–330. doi: 10.1111/j.1399-0004.1987.tb02816.x. [DOI] [PubMed] [Google Scholar]
  3. Berg J. M., Pakula Z. Angelman's ("happy puppet") syndrome. Am J Dis Child. 1972 Jan;123(1):72–74. doi: 10.1001/archpedi.1972.02110070122020. [DOI] [PubMed] [Google Scholar]
  4. Bower B. D., Jeavons P. M. The "happy puppet" syndrome. Arch Dis Child. 1967 Jun;42(223):298–302. doi: 10.1136/adc.42.223.298. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Dooley J. M., Berg J. M., Pakula Z., MacGregor D. L. The puppet-like syndrome of Angelman. Am J Dis Child. 1981 Jul;135(7):621–624. doi: 10.1001/archpedi.1981.02130310027010. [DOI] [PubMed] [Google Scholar]
  6. Elian M. Fourteen happy puppets. Clin Pediatr (Phila) 1975 Oct;14(10):902–908. doi: 10.1177/000992287501401003. [DOI] [PubMed] [Google Scholar]
  7. Fisher J. A., Burn J., Alexander F. W., Gardner-Medwin D. Angelman (happy puppet) syndrome in a girl and her brother. J Med Genet. 1987 May;24(5):294–298. doi: 10.1136/jmg.24.5.294. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hersh J. H., Bloom A. S., Zimmerman A. W., Dinno N. D., Greenstein R. M., Weisskopf B., Reese A. H. Behavioral correlates in the happy puppet syndrome: a characteristic profile? Dev Med Child Neurol. 1981 Dec;23(6):792–800. doi: 10.1111/j.1469-8749.1981.tb02067.x. [DOI] [PubMed] [Google Scholar]
  9. Kuroki Y., Matsui I., Yamamoto Y., Ieshima A. The "happy puppet" syndrome in two siblings. Hum Genet. 1980;56(2):227–229. doi: 10.1007/BF00295701. [DOI] [PubMed] [Google Scholar]
  10. Mayo O., Nelson M. M., Townsend H. R. Three more 'Happy Puppets'. Dev Med Child Neurol. 1973 Feb;15(1):63–74. [PubMed] [Google Scholar]
  11. Moore J. R., Jeavons P. M. The "happy puppet" syndrome: two new cases and a review of five previous cases. Neuropadiatrie. 1973 Apr;4(2):172–179. doi: 10.1055/s-0028-1091738. [DOI] [PubMed] [Google Scholar]
  12. Pashayan H. M., Singer W., Bove C., Eisenberg E., Seto B. The Angelman syndrome in two brothers. Am J Med Genet. 1982 Nov;13(3):295–298. doi: 10.1002/ajmg.1320130311. [DOI] [PubMed] [Google Scholar]
  13. Williams C. A., Frias J. L. The Angelman ("happy puppet") syndrome. Am J Med Genet. 1982 Apr;11(4):453–460. doi: 10.1002/ajmg.1320110411. [DOI] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES