Monday, February 25, 2013

Transverse Myelitis

Overview:

After my sons 5th birthday party we came home to play with all his new toys. That night he started complaining of a headache and said his legs felt sleepy, I treated the headache with Tylenol and we went to bed. The next morning he woke up completely paralyzed from neck down (c3) we are almost 2 years out with some recovery, this diseases is rare and there is only 2 doctors that really treats it.

Symptoms:
Legs feeling sleepy, headache, legs tingling, lose of bowl, and urine retention they can hit all the sudden or over a course of weeks or months.

Testing/Diagnosis:
Mri, spinal tap

Treatment:
High dose steroids, IVIg infusion, plasma pherisis

Resources:
John Hopkins TMA association and Kennedy Kriger institute in Baltimore

Contributed by MOM Anna Martin

Monday, February 18, 2013

Hirschsprungs Disease

Overview:
HD is a rare intestinal disease where the walls of the intestines are missing the proper nerve cells, which causes the intestines not to have movement. My daughter is about of the 10% in which this disease effects the entire colon.

Symptoms:
No bowel movements, major constipation, vomit/green vial.

Testing/Diagnosis:
Biopsy.

Treatment:
Surgery for an ileostomy at 1 month old, surgery at a year old to reverse the ileostomy, remove the large intestines, and pull the small through to the rectum.

Resources:
N/a

Contributed by MOM Ceaton Busch - check out Elynn's Facebook page for more.

Monday, February 11, 2013

Moebius Syndrome

Overview:
Moebius syndrome is a rare neurological disorder that is present at birth. It primarily affects the 6th and 7th cranial nerves, leaving those with the condition unable to move their faces (they can’t smile, frown, suck, grimace or blink their eyes) and unable to move their eyes laterally. Other cranial nerves may be affected, especially the 3rd, 4th, 5th, 9th, 10th and 12th. There may be skeletal involvement causing hand/feet anomalies and/or club feet. Respiratory problems, speech and swallowing disorders, visual impairments, sensory integration dysfunction, sleep disorders, and weak upper body strength may also be present. Approximately 30% of children with Moebius syndrome are on the autism spectrum.

Symptoms:
Lack of facial expression; inability to smile Feeding, swallowing and choking problems Keeping head back to swallow Eye sensitivity due to inability to squint Motor delays due to upper body weakness Absence of lateral eye movement Absence of blinking Strabismus (crossed eyes) Drooling High palate Short or deformed tongue Limited movement of tongue Submucous cleft palate Dental problems Hearing impairment Articulation / speech disorders Minor mid-line anomalies Club feet Hand/feet deformities

Testing/Diagnosis:
Clinical diagnosis. There is currently no genetic test for Moebius.

Treatment:
Infants sometimes require special bottles (i.e. Special Needs or Pigeon Feeder) or feeding tubes to maintain sufficient nutrition. Strabismus (crossed eyes) is usually correctible with surgery. Children with Moebius syndrome usually benefit from physical and speech therapy to improve their gross motor skills and coordination, and to gain better control over speaking and eating, as well as occupational and sensory integration therapies. Limb and jaw deformities may often be improved through surgery. In addition, plastic reconstructive surgery of the face can offer benefits in individual cases. In that surgery, nerve and muscle transfers to the corners of the mouth have been performed to provide an ability to smile.

Resources:
http://www.moebiussyndrome.com

http://www.manyfacesofmoebiussyndrome.com

Personal Story:



Contributed by MOM Jennifer Akers

Monday, February 4, 2013

Foxg1 Gene Disorder on 14q12 gene (Congenital Variant Rett Syndrome)

Overview:
FOXG1 is a severe neurological condition characterized by seizures, small head size, inability to control body movements, and lack of speech. The majority of our children cannot walk or talk. They cannot feed themselves and they struggle to communicate their most basic needs.

Symptoms:

  • Inconsolable crying within the first year of life

  • Partial or complete agenesis of the corpus callosum

  • Developmental Delay

  • Teeth grinding

  • Enlarged ventricles in the brain

  • Irregular involuntary muscle movements

  • Microcephaly

  • Seizures

  • Spontaneous laughter

  • Cortical Visual Impairment

  • Strabismus

  • Higher pain tolerance

  • Higher susceptibility to illness

  • Constipation

  • High and low muscle tone

  • Regression -very rare

  • Swallowing issues

  • Sleep disturbances

  • Nonverbal or minimal word approximations

  • Reflux

  • Temperature issues

  • Low tolerance of heat

  • Flushing

  • Exceptional love of water and music

  • Hand washing motions

  • Small hands and feet

  • High palates



Testing/Diagnosis:
Testing is available through a blood test

Treatment:
None

Resources:
Foxg1.com
International Foxg1 Foundation page on Facebook

Story:
I'm Heather, Vice President of IFF and here's my story!

On February 15, 2004 my husband, Greg, and I welcomed our beautiful baby boy, Jacob into the world. He was five weeks early and spent two weeks in the NICU. We knew when we brought him home there would be some delays; however they never really resolved. At six months old Jacob's Pediatrician ordered an MRI. We then discovered that he was missing brain tissue, and would have mental and physical disabilities for the rest of his life. He cannot talk, walk, feed himself, is legally blind, has seizures and a small brain, asthma, severe reflux, and global developmental delay. He functions at about an 8-12 month level and is almost 9 years old. However, Jacob is the happiest kid in the world~ his giggle is pure, unadulterated joy.

Needless to say, it was a bit of a shock. We began to see Neurologists, Ophthalmologists, Gastroenterologists, Orthopedists, and also had Speech, Vision, Physical and Occupational Therapists coming into our house several times a week. While trying to get our feet back under us and learning how to deal with all this, at 18 months old Jacob began to have seizures- his first one was 3 hours long. It was quite probably the most terrifying moment of our lives. We were so helpless- we didn't know if Jacob was going to make it- and if he did, would he be different? Thus began the first of Jacob's many hospital stays, and yet another road-less-traveled for us. After about a year of trial and error on different meds, we finally found a med cocktail that controlled the seizures for the most part.

Things were hectic for awhile, but stable. Jacob started pre-school in 2007 and finally began sleeping through the night (woohoo!!). We then had our baby girl, Anna in 2008 who is an amazing gift-although she does make us want to pull our hair out at times!

In 2009, when we finally made the decision to have a feeding tube placed because of oral motor issues and medication side effects causing decreased appetite, leading to a diagnosis of failure to thrive. It made a huge difference in Jacob’s and our lives, all for the better. In 2010, we were truly blessed to have Jacob approved for a Make-a-Wish trip based on his life-threatening seizures. The four of us plus an aide went to Disney- it was the most magical experience of our lives!

Throughout this whole process, Jacob continued to struggle with seizures. We never knew when they would come, how severe they would be, and whether or not the emergency meds would work. More often than not we had to call 911 as the meds became less and less effective. We eventually learned to live with the "always waiting for the other shoe to drop" sensation, and tried to live our lives as typically as possible. Finally, in August of 2012 we decided, along with Jacob's Neurologist, to have a Vagal Nerve Stimulator implanted for seizure control. It's basically like a pacemaker for the brain, and every five minutes it turns on, sending a 30 second pulse to the brain in an attempt to break up any potential seizure activity. As a result, Jacob's seizures have definitely reduced in frequency and severity. For the first time in almost eight years, the Neurologist has begun lowering one of the three seizure meds, and between that and the implant, we are seeing some increased cognitive function. For the first time, Jacob has begun to talk. He has just started responding with the sound "ay" when his friends and family say "Hi Jacob!" It is the most amazing sound in the world!

The reason I tell you all this is because while all this was going on, we were still searching for a diagnosis. We had been told previous to having our daughter that Jacob has some kind of genetic disorder, although no one could figure it out. We continued testing as the years went on, until one day we got a call- Jacob has Foxg1 Gene Disorder. We poured the internet for more information no avail- we had a name, but the genetic mutation was only just discovered and no signs, symptoms and treatments were available. Our secretary, Stefanie, started a group on Facebook, and the rest, as they say, is history! Over the past year, we have found 34 other children diagnosed with Foxg1 in the world, but there is still very little information available.

We decided to do something about that. This year, myself and 5 other Foxg1 moms formed the International Foxg1 Foundation. Our Mission is to provide support to families with an individual diagnosed with Foxg1; to educate the medical community and public about this disorder; and to provide funding to the three Neurogeneticists who have formed a team and study Foxg1 in the hopes of someday discovering treatments and a cure.

Greg and I are truly blessed to have Jacob and Anna. They have taught us how to life in the moment, to appreciate the small things and to truly see what is important in life. We are one of the many faces of Foxg1, and we can’t to see what the future holds!

Contributed by MOM Heather Norwood

Monday, January 28, 2013

MAE - Doose Syndrome

Overview:
MAE typically known as Doose Syndrome, is a rare form of Epilepsy. With 1-2 children being diagnosed out of 100 children with epilepsy. MAE is much like Lennox-Gastaut Syndrome (LGS) with the difference of the Myoclonic-Astatic seizure type. Due to the risk of head injury from the drop seizures a protective helmet is worn at all times some may even be in a wheelchair at times because of the 100s of drops in a day to reduce the risk of injury.

Symptoms:
MAE shows to be difficult to treat seizure activity, ranging with several types of seizures and often experience 100s a day. Myoclonic (drop seizure) or Myoclonic-Astatic (drop seizure with muscle loss) seizures are rare and unique with diagnosing MAE. 100% of children diagnosed with MAE will experience one or both of these seizures. Typically a child will have no prior neurological issues and begin having seizures suddenly (onset age of 3) between the ages of 1 and 5.

Testing/Diagnosis:
An EEG reading of a child with MAE typically has a specific Hz pattern.

Treatment:
It is very rare, to have a few medications control seizure activity so several medications are needed along with other treatments. The ketogenic diet has shown a great success reduction rate for many. Other treatments include VNS and/or brain surgery.

Resources:
Epilepsy Foundation Doose Syndrome Foundation and Dallas Childrens Medical Center

Personal Story:
Camryn began having seizures just before his 3 birthday, it was a morning that I will never forget. That first seizure (tonic-clonic) seemed to show up from nowhere and within 2 weeks my healthy and normal little boy was fighting a battle with Epilepsy and 100s of seizures a day, ranging from tonic-clonics, myoclonics, tonics, atonics, absence and other types of seizures recorded on EEGs that we still dont have a name for. We began seeing regression and slower EEG readings and no answers on WHY!?! His resistance to medication was overwhelmingly horrific. Taking 369 pills a month and still having seizures on a daily basis. When the medication was taken away for a VEEG, he experienced status-epilepticus (convulsive and non convulsive) lasting 3 days with zero effects from the emergency medication. It was shocking to me that I assumed the 369 pills a month were doing nothing and then seeing that within just 12 hours without them could possibly be life threatening! Camryn has been on the Keto genic Diet and showed zero improvement as well as the VNS therapy. The VNS is our new HOPE. It is new for us so only time will tell, but we have seen some improvement. He is talking much more now and begining to progress instead of regress. Camryn is a HERO to me and has a smile of pure innocense that I wish the world could have. He is so strong and has been through so much, but when the seizures seem to disappear for even just a few hours he can light up a room with his joy. He may not be "normal" like other kids his age but he IS UNIQUE.



Contributed by MOM Amber Fuller

Monday, January 21, 2013

Undiagnosed

Overview:
My daughter Isabella Cate Wimpsett was born at 26 weeks unexpectedly (Placental Abruption). She was diagnosed with bilateral grade IV IVH. Bella Cate has since had a feeding tube placement, a VP shunt placement, several sets of subdural drains due to subdural hematoma that she developed. She has had meny sets of Botox injections and bilateral hip adductor releases.

Symptoms:
Universal developmental delays, Spasticity of all limbs, hypotonic trunk, seizures,

Testing/Diagnosis:
many CT scans, MRI, Xrays, ultrasounds, blood tests

Treatment:
PT,OT,ST, Baclofen, splinting, Botox injections, Keppra (for seizures)

Resources:
Kosair Childrens Hospital, Shriners Hospital



Contributed by MOM Amber Wimpsett

Monday, January 14, 2013

Undiagnosed

Overview:
While in utero Andrew suddenly stopped moving and using his muscles. When he was born via c-section since he was breech, he was immediately intubated and brought to the NICU where he spent the first 103 days of his life.

Symptoms:
Neuromuscular - Extremely low muscle tone, does not swallow & barely moves, Trached & Vented full time, G-tube feeds, frequent suctioning, contractures of the wrist joints and no knee, ankle or elbow joints, hip displasia

Testing/Diagnosis:
Andrew has had numerous blood and genetic tests done. Doctors wanted to do a muscle biopsy during his g-tube surgery, but there was not enough muscle to take.

Treatment:
PT, OT, Speech

Resources:
Rhode Island Parent Information Network, Hasbro VIP Clinic

Personal Story:
When Andrew was born 5 weeks early, we did not know what to expect. There was a brief moment when we locked eyes before they whisked him away to be intubated and brought to the NICU. Andrew went through more in his 3 1/2 month NICU stay than most people go through their whole lives. He was poked, prodded, head shaved, got sicker, was extubated twice - on accident, had both his arms fractured & had 5 surgeries in 1 day. Once he was trached, however, he began to thrive! He would communicate using his eyes since he made no sounds. I trained daily to learn how to care for him at home and eventually that day came. Andrew has had some ups and downs since being home, but nothing too severe. He is now almost 5, a big brother and in Pre-K at school. He is working with a computerized eye gaze device in order to communicate. He still has extremely limited movements, but can tell you a story with his eyes. He is still undiagnosed, but shows us daily how he knows more than we can imagine and it is only getting better!



Contributed by MOM Tara Townsend