Three Siblings with Prader-Willi Syndrome: Brief Review of Sleep and Prader-Willi Syndrome
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Updated: Mar 29, 2026

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Published on: April 26, 2024
Arina Bingeliene1, Colin M Shapiro1, Sharon A Chung2
1Department of Psychiatry, Faculty of Medicine, University of Toronto, Canada ; Toronto Western Hospital, University Health Network, 399 Bathurst Street, 7 Main, Room 422, Toronto, ON, Canada M5T 2S8 ; Sleep Research Laboratory, Toronto Western Hospital, 399 Bathurst Street, 7 Main, Room 422, Toronto, ON, Canada M5T 2S8.
Insights
Prader-Willi syndrome (PWS), a genomic imprinting disorder, can be inherited. This case study highlights three siblings with PWS, emphasizing the critical role of multidisciplinary care and sleep management in improving patient outcomes.
Area of Science:
- Genetics
- Pediatrics
- Endocrinology
Background:
- Prader-Willi syndrome (PWS) is a complex genetic disorder affecting multiple body systems.
- Characterized by hypotonia, intellectual disability, hyperphagia, and endocrine dysfunction.
- PWS is the first identified human disorder linked to genomic imprinting.
Purpose of the Study:
- To report a unique case of three siblings diagnosed with Prader-Willi syndrome.
- To highlight the significance of inherited genetic mechanisms in PWS.
- To emphasize the impact of sleep disturbances and multidisciplinary care in PWS management.
Main Methods:
- Case report detailing three siblings with PWS.
- Review of literature focusing on sleep-related issues in PWS.
- Analysis of the impact of medical interventions and parental care.
Main Results:
- All three siblings presented with sleep-related complaints.
- One sibling died due to obstructive sleep apnea at age 24.
- Brothers experienced positive outcomes with tailored medical care and recommendations.
- The case illustrates a rare inherited form of PWS.
Conclusions:
- Inherited PWS, though rare, can occur within families.
- Effective management of PWS requires a multidisciplinary approach.
- Addressing sleep disturbances is crucial for improving quality of life and prognosis in PWS patients.
Abstract:
Prader-Willi syndrome (PWS) is a genetic disorder characterized by short stature, mental retardation, hypotonia, functionally deficient gonads, and uncontrolled appetite leading to extreme obesity at an early age. Patients with this condition require multidisciplinary medical care, which facilitates a significant improvement in quality of life. PWS is the first human disorder to be attributed to genomic imprinting. Prevalence varies in the literature, ranging from 1 in 8,000 in the Swedish population to 1 in 54,000 in the United Kingdom. Rarely, the genetic mechanism responsible for Prader-Willi syndrome can be inherited. We report a highly unique case of three siblings who share this condition. This report describes a case of two brothers and one half sister with PWS. All three siblings have sleep-related complaints. The sister died at the age of 24 years in her sleep, with the cause of death reported as obstructive sleep apnea. The outcome was positive in both of the brothers' cases as a result of professional medical care and specific tailored recommendations implemented by their mother. A review of the relevant literature vis-à-vis sleep and PWS is provided.
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