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Rett Syndrome

Early Signs of Rett Syndrome in Young Children

Rett syndrome often starts with a settled early period, then a slowing or loss of skills between about 6 and 18 months — especially loss of purposeful hand use, repetitive hand movements, slowing head growth and reduced social engagement. Any loss of previously gained skills is always a reason for a prompt developmental check; only a clinician can confirm.

Early Signs of Rett Syndrome in Young Children
Early Signs of Rett Syndrome in Young Children — Ask Pinnacle, the Child Development Kośa

Many babies with Rett syndrome seem to develop typically at first — which is exactly why a gentle, watchful eye in the early months matters so much.

In short

Rett syndrome often begins with a quiet, healthy-seeming start, followed by a slowing or stalling of development between about 6 and 18 months. The most telling early signs are a loss of skills a baby once had — especially purposeful hand use — together with repetitive hand movements and slowing head growth. These signs deserve a prompt developmental check; only a clinician can confirm what they mean.

Early signs to notice

A change after an early settled start
  • Slowing of development, or a plateau, after months of seemingly typical progress
  • Loss of skills the baby had — reaching, grasping, babbling or social engagement

Hand use and movement

  • Losing purposeful hand use — no longer holding toys or reaching as before
  • Repetitive hand movements once purposeful use fades — wringing, washing-like, mouthing or clapping motions
  • Reduced muscle tone (a "floppy" feel) or unsteady, wobbly movements

Growth and engagement

  • Head growth slowing relative to the body over the early months
  • Reduced eye contact or social interest, sometimes mistaken for autism early on
  • Feeding difficulties, irritability, or disturbed sleep

When to seek a check

Any loss of skills a child once had — at any age — is always a reason to seek a developmental review promptly, rather than waiting. Because Rett syndrome involves regression, early review matters even when a baby seemed perfectly well before. Ask your paediatrician for a developmental assessment, and begin supportive occupational therapy input in parallel while answers are sought.

The Pinnacle way

At Pinnacle Blooms Network we map each child's strengths across every developmental domain to build a clear, supportive baseline. A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care — never from an online list. Backed by 25 million+ therapy sessions and 4.95 lakh+ families served across 70+ centres, our team walks beside you at every step.

Trusted sources

Informed by WHO ICD-11 (LD90.0 Rett syndrome), and developmental-surveillance guidance from the CDC, the American Academy of Pediatrics and NICE.

Next step — if your child has lost a skill or you notice these patterns, book a developmental check with Pinnacle on WhatsApp: +91 91001 81181.

This is general information, not a diagnosis — a clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre under qualified clinician care.

What to watch

Escalate to a same-week developmental review on any loss of previously gained skills — hand use, babble or social engagement — or slowing head growth, rather than waiting and watching.

Try this at home

Keep a simple month-by-month note of what your baby can do — reaching, holding toys, babbling. If something a child once did disappears, that record helps a clinician act quickly.

Trusted sources

Developed by SETU Consortium · Pinnacle Blooms Network · Last reviewed 2026-06-10

This is general information, not a diagnosis. A clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre, under qualified clinician care.

Frequently asked

At what age do Rett syndrome signs usually appear?

Many babies seem to develop typically for the first months, with signs often emerging between about 6 and 18 months as development slows or skills are lost. Because Rett syndrome involves regression, any loss of a skill at any age is a reason for a prompt developmental check.

Is the loss of hand use a key early sign?

Yes. Losing purposeful hand use — no longer holding toys or reaching as before — followed by repetitive hand movements like wringing or washing-like motions, is one of the most recognisable patterns. A clinician should review this promptly.

Could these signs be something other than Rett syndrome?

Yes — early signs can overlap with autism or other developmental differences, which is why a list cannot diagnose. A qualified clinician interprets the full picture to understand what the pattern means.

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