Infants and toddlers with Sotos syndrome usually developmental delays for milestones like rolling, sitting, crawling, and walking. Children may demonstrate poor coordination and have trouble with both gross and fine motor skills. Language skills are often delayed as well. Some children with Sotos syndrome do not speak until they are two or three years old. Intellectual and developmental problems can arise, too, including ADHD, OCD, impulse control problems, and aggression. Some children with Sotos syndrome have autism, while others have only mild to moderate learning disabilities.

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