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Living with Sanfilippo syndrome

An inherited condition, also called MPS III, that mainly affects the brain and nerves, with behavior changes and loss of learned skills.

Understanding Sanfilippo syndrome

Sanfilippo syndrome, also called mucopolysaccharidosis type III (MPS III), is an inherited condition that mainly affects the brain and spinal cord.

People usually have no signs at birth. Signs begin in early childhood, most commonly mild developmental delay or delayed speech. Behavior problems such as restlessness, hyperactivity, and anxiety often worsen, and sleep problems are common. Over time it causes progressive intellectual disability and loss of skills, and later seizures and loss of movement. Physical features are mild, such as coarse facial features and a large head.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Delayed speech
  • Behavior changes
  • Sleep problems
  • Loss of skills learned earlier
  • Coarse facial features and large head
  • Frequent ear infections

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists, brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    World Craniofacial Foundation and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial Foundation, Epilepsy Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Cure Sanfilippo Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type of MPS III does my child have, and which gene is involved?
What can help with sleep and behavior?
Are there clinical studies for Sanfilippo syndrome?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive

It is autosomal recessive, so a child inherits a changed copy of a gene from each parent. GARD does not name a gene in this record.

GeneticNeurologicalInherited MetabolicLysosomal Storage

Also known as: heparan sulfate sulfatase deficiency; heparan sulphate sulfatase deficiency; mps3; mpsiii; mucopoly-saccharidosis type 3; mucopolysaccharidosis type 3

Patient organizations

Source: NIH GARD · Sanfilippo syndromeGARD ID 3807 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

Explore research for Sanfilippo syndrome

Explore actively recruiting Sanfilippo syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Sanfilippo syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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