Guest guest Posted March 12, 2008 Report Share Posted March 12, 2008 121253 pt adm to hosp 19NOV98 w/new onset sz;dx rapidly progressive necrotizing encephalitis;clinically thought to be most consistent w/mitochondrial cytopathy although studies pending;autopsy showed meningoenchephalitis w/hemophagocytosis Cerebral haemorrhage Cerebral infarction Cerebrovascular disorder Convulsion Encephalitis Immune system disorder 150001 " The pt experienced a fever, knot at the injection site for an extended period, fussiness, irritable, loss of skills, language, comprehension etc. 60 day follow-up dated 7/10/00 provided a corrected age. Annual follow-up states the pt has metabolic disturbances, mitochondrial problems, GI issues, PDD. Pt is now a 3 year, 9 month old child with a diagnosis of Autism Spectrum Disorder/Pervasive Developmental Disorder. Pt has been referred for a neurological consultation by his pediatrician. Pt was seen previously for a neurologial examination in June of 1998. He returns today to review his developemental and neurological status, to examine his educational and therapeutic interventions and to determine whether any adjustments or amendments need to be made in his overall program plan. Pt was accompanied to this assessment by his parents who provided much of the background information. Currently, pt has now gotton some words and is trying to imitate sounds made by others. His parents are pleased that he is now making more of an effort, whereas before he simply became frustrated. Words which he tends to use with some reasonable consistency include mam, go, bye, and dada. He has also learned to shake his head yes or no appropriately and is developing the use of the " " H " " constanant sounds. He currently recognizes 19 letters, all of his shapes and colors and he is currently working on generalization and can point to shapes in a book. Play skills have like wise improved as has eye contact. He has a tendency to become fixated on the same four viseo tapes but rarely asks for television. He ossupies himself with toys and can play alone for more than an hour. SOme perserverate behavior and play behavior however, can be exhibited. In terms of dressing skills, pt is now able to take off his shoes and socks and is otherwise able to help with dressing. However, he requires a good deal of repetition. From the health perspective, pt has been in good health and there has been no major medical issues. However, he continues to have eczem " Agitation Aphasia Autism Gastrointestinal disorder Injection site mass Mental impairment 169634 " Child seen on 2/28/01 for well child 2 month exam. Received DTAP, HIB, Prevnar and HEP-B. Child seen on 4/12/01 for " " fussy and stiff with decreased smile X 2 weeks " " . Child hospitalized. (+) RSV (bronchiolitis) on 2/16/01, treated with Augmentin. After exam, it was revealed spasticity and abnormal eye movements. She was seen by neurosurgery, neurology, development and genetics. The present concensus is that pt may have a metabolic disease. Parents state child is waking up more at night and screaming. Child was put on apnea monitor for swallowing disorder. Shows signs of cerebral palsy/eye movement disorder. Has persistent URI. He was also found to have bilateral otitis media and treated with Amoxil. Annual report dated 05/02/2003: Diag death 2 hours to genetic mitochondrial Dz. Date of death: 10/03/2001. " Brain oedema Cerebral atrophy Cerebral haemorrhage Dysphagia Irritability Musculoskeletal stiffness 185160 " Information has been received from a health professional concerning an 18 yea rold male with a serious mitochondrial genetic disorder and underlying condition of complete muscle spasms who on 07/05/2001 at 3pm was vaccinated with one dose of varicella vaccine. The pt did not experience any local injection site problems. On approx. 07/05/2001, the pt developed amplified complete muscle spasms. It was reported that " " the family and the nurse are not sure if the vaccine is the cause, but nurse reported that there are some medications that have amplified his muscle spasms inthe past. " " The pt reportedly goes through cycles of muscle spasms, but these have been worse since receiving the vaccine. The pt sought unspecified medical attention. Additional info has been requested. " Condition aggravated 195749 " Paralysis affecting left arm, leg and facial features. Hospitalized after Dr's office visit on 11/11/02. Parents told two blood clots in brain. Treatment-physical therapy one baby aspirin daily. Diagnosed with opening between atria of heart. Being treated for mitochondrial defect and blood clotting disorders. In process of recovery. On 60- day followup report received 04/25/2003, reporter states, " " Patient was tested at Mayo's after Vx and they found a hole in his heart and said it was not Vx-related. Pt is going back to Mayo's in 5 months to see if hole in heart has closed. " " Annual follow up on 04/21/04: " " Pt has recovered from adverse event. " " " Paralysis Thrombosis 233744 Diagnosed at 26 months with PDDNOS. Confirmed mercury toxicity, mitochondrial disorder, measles, immune dysfunction, gut dysbiosis by board certified pediatrician, board certified medical doctor, board certified pediatric neurologist, board certified neurologist and psychologist between 42 months and 53 months. Currently being treated with DAN! protocol to support immune system and repair gut dysbiosis and chelation to remove mercury poisoning caused by thimerosal in vaccines. Drug toxicity Endocrine disorder Gastrointestinal disorder Immune system disorder Viral infection 270406 Irritability, dizziness and unexplained vomiting episodes presenting at around 13-14 months followed by rapid neurologic decline including severe hyper and hypotonia. Resulted in loss of walking ability, speech, etc. Diagnosed with rapidly progressive, fatal neurologic disease. Has since regained most function and appears to have CP most likely attributed to viral illness of unknown origin. (ADEM+ Accute diseminated encephalitis) Does not appear to have chronic neurolic disease as first diagnosed. MRI has dramatically improved over last 6 years. Outcome = Cerebal Palsy. 01/16/07-records received and reviewed form Thorrez MD DX: degenerative encephalopathy possibly due to a mitochondrial disorder. Leukodystrophy, unclear cause. Developmental regression followed by plateau and associated leukodystrophy. Which makes us think that it is a mitochondrial disorder whereas the spectroscopy shows some evidence against that. Abasia CSF lymphocyte count CSF white blood cell count Cerebral palsy Demyelination Dizziness Quote Link to comment Share on other sites More sharing options...
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