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Made by a PURA parent in the UK. Information only, not medical advice. Read our disclaimer.
Printable sheet

Explaining PURA: school and nursery staff

For teachers, teaching assistants, nursery staff and school nurses.

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PURA syndrome

A guide for school and nursery staff

For teachers, teaching assistants, nursery staff and school nurses.

PURA syndrome is a rare genetic condition. It’s caused by a change in a gene called PURA, which is important for how the brain develops. Every person with PURA syndrome is different.

In most children it’s a new change that wasn’t inherited from either parent. It isn’t catching.

Things you might notice

  • Low muscle tone (floppiness), which can affect sitting, moving and posture
  • Difficulties with feeding and swallowing
  • Learning disability and delayed development
  • Little or no speech. Many understand more than they can say
  • Walking later, and some don’t walk
  • Seizures (epilepsy) are common and can be hard to control

How you can help

  • Follow their individual care plans for seizures, eating and drinking, and moving and handling. Ask us or the school nurse if anything’s unclear.
  • Give them time to respond, and use their way of communicating: signs, pictures or an AAC device.
  • Talk to them, not just about them.
  • Tell us about changes, good or bad: tiredness, eating, seizures or something new they’ve done.
  • If they have a seizure, follow their seizure plan. Call 999 if a seizure lasts more than 5 minutes (or longer than is usual for them) (NHS).

About my child

Find out more: purasyndrome.app (PURA Family Directory, an independent UK site, not connected to any charity or provider) · PURA Syndrome Foundation: purasyndrome.org · Unique: rarechromo.org

Information only, not medical advice. Always follow the person’s own care plans. Sources: MedlinePlus Genetics · GeneReviews · NHS: seizures · checked 3 Nov 2026

Other sheets: Grandparents and family · Brothers and sisters · New carers and support workers. You might also like the care pack, a fuller “All about me” passport.

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