There are currently no established clinical guidelines for the clinical management.
Recommended Evaluations Following Initial Diagnosis in Individuals with H1-4Syndrome
• Developmental assessment
• Neuropsychiatric evaluation including ASD
• Neurological evaluation or EEG if seizure is a concern
• Echocardiogram: To evaluate for structural cardiac anomalies
• Examine males for cryptorchidism
• Evaluate for hypothyroidism
• Evaluate dentition, eye, and skeletal issues if a clinical concern
• Genetic counselling
