Guest guest Posted February 23, 2012 Report Share Posted February 23, 2012 Good Afternoon! My name is Tara and our daughter was born Sept 5, 2010, 10 weeks premature. Everything was going fine and she was doing extremely well. She was breathing on her own, tolerating feeds, she was a superstar. Then, when she was three days old she coded. Rare cardiac defects were discovered. She had a completely interrupted aortic arch, an atrial septal defect, a very large ventricular septal defect, a PDA, and a bicuspid aortic valve. It was also discovered on day three (for some reason, not right away on her first X-ray what the heck?!), that she did not have a thymus gland and that she was hypocalcemic. It was a really hard day. We were given all of the information, overheard the geneticist diagnose her with 22q.11.2 deletion syndrome, and learn that she needed open heart surgery in a day or two in a different province. Then it got crazy. The surgeon couldn't do surgery because she was too small. She lived in NICU for two months on a ventilator with congestive heart failure, lung infections and septicaemia with low sats. She had her first open heart surgery when she was two months old and weighed 4.5 pounds. She was on bypass for 140 minutes and circulatory arrest for 55 minutes. Her heart tissues were so damaged that when the surgeon touched them she bled. She got over 30 adult sized blood transfusions. The surgeon said the surgery was spooky, but mostly successful, we would have to go in again when she was older. 6 months after her first heart surgery she had a cardiac cath done, but it was unsuccessful, so we prepared for another open heart surgery. In the meantime she also had a bunch of scopes and a bronchoscopy. I could probably write a novel, but I'll spare you the details. She was 100% tube fed until she was just over a year. She was told she would never eat or drink orally because of her lack of tone and airway issues. She also has an occult sub mucous cleft palate. At age 18 months (15.5 corrected) she can sit, but not get in or out of sitting. She can stand assisted, and walk assisted, but cannot walk along furniture or stand on her own. She feeds herself finger foods, and just held her drinking cup for the first time on her own last week. She doesn't talk. She says mama mama, and babbles da, but not to " ask " for daddy. However, when she says mama mama she is asking for me. She says " all da " for all done, and gestures for the things she wants with her left hand. She also waves Hi and Bye. Up until two weeks ago, as far as we knew all of her problems were diagnosed. We had an MRI. We were surprised to learn that she has unilateral polymicrogyria. She also has volume loss of the left sided cerebral white matter and thickened cortical grey matter. They saw scattered T2 hyperintensities, scoliosis, butterfly vertebrae, associated decrease in the volume of the left cerebral penduncle and left midbrain, prominence of the left lateral ventricles and Cavum septum pellucidum. There were also a bunch of other giant words and phrases that I don't understand. It was a huge holy crap moment for us. We assumed that all of her developmental delay were caused by the 6 months of hospitalization, VCFS, and prematurity, combined with the trauma of open heart surgeries. We were having the MRI to diagnose a suspected stroke, or some form of cerebral palsy. Now, I'm confused. I guess it doesn't really matter where her delays are coming from, but we assumed it was the VCFS (the genetic stuff). VCFS is known to cause developmental delay, speech, and learning disabilities. Are her issues coming from the VCFS? the PMG? Both? (probably both) The whole left side of the brain is PMG, but the most abnormalities fall in her expressive language, gross motor, and sensory areas of the brain. I know no one can look into the future, but I'm scared, and want to hear stories of your children that lead relatively " normal " lives (what is normal anyway?!). Thank you so much for allowing me to join your group, I hope to learn a lot. Tara Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2012 Report Share Posted February 24, 2012 Hi Tara Wow your little girl has been through so much, I am so sorry to hear of your hard journey. My girl was born on the 9 Sep 2010 and also has PMG. I do not know alot about the heart condition and associated problems that come with it but can tell you that the delay could definetly be fromt he PMG. My girl does not speak, although she does grunt and gesture to communicate with me, she does not sit unassisted, or walk or stand at all.. She only just got head control at the age of 1yr. Each child writes their own story and that your girl is verbalizing and sitting and standing (assisted) is def a milestone to celebrate. This support group is a great place and you will learn lots of information, there is also a facebook group aswell to share stories and photos, the parents on here are wonderful and we are all here to support each other. It must be hard for you and your family going through so much with you little girl, but she sounds very strong. Regards Kat ________________________________ To: polymicrogyria Sent: Friday, 24 February 2012 9:23 AM Subject: A new member with a long story that I'll make short! Â Good Afternoon! My name is Tara and our daughter was born Sept 5, 2010, 10 weeks premature. Everything was going fine and she was doing extremely well. She was breathing on her own, tolerating feeds, she was a superstar. Then, when she was three days old she coded. Rare cardiac defects were discovered. She had a completely interrupted aortic arch, an atrial septal defect, a very large ventricular septal defect, a PDA, and a bicuspid aortic valve. It was also discovered on day three (for some reason, not right away on her first X-ray what the heck?!), that she did not have a thymus gland and that she was hypocalcemic. It was a really hard day. We were given all of the information, overheard the geneticist diagnose her with 22q.11.2 deletion syndrome, and learn that she needed open heart surgery in a day or two in a different province. Then it got crazy. The surgeon couldn't do surgery because she was too small. She lived in NICU for two months on a ventilator with congestive heart failure, lung infections and septicaemia with low sats. She had her first open heart surgery when she was two months old and weighed 4.5 pounds. She was on bypass for 140 minutes and circulatory arrest for 55 minutes. Her heart tissues were so damaged that when the surgeon touched them she bled. She got over 30 adult sized blood transfusions. The surgeon said the surgery was spooky, but mostly successful, we would have to go in again when she was older. 6 months after her first heart surgery she had a cardiac cath done, but it was unsuccessful, so we prepared for another open heart surgery. In the meantime she also had a bunch of scopes and a bronchoscopy. I could probably write a novel, but I'll spare you the details. She was 100% tube fed until she was just over a year. She was told she would never eat or drink orally because of her lack of tone and airway issues. She also has an occult sub mucous cleft palate. At age 18 months (15.5 corrected) she can sit, but not get in or out of sitting. She can stand assisted, and walk assisted, but cannot walk along furniture or stand on her own. She feeds herself finger foods, and just held her drinking cup for the first time on her own last week. She doesn't talk. She says mama mama, and babbles da, but not to " ask " for daddy. However, when she says mama mama she is asking for me. She says " all da " for all done, and gestures for the things she wants with her left hand. She also waves Hi and Bye. Up until two weeks ago, as far as we knew all of her problems were diagnosed. We had an MRI. We were surprised to learn that she has unilateral polymicrogyria. She also has volume loss of the left sided cerebral white matter and thickened cortical grey matter. They saw scattered T2 hyperintensities, scoliosis, butterfly vertebrae, associated decrease in the volume of the left cerebral penduncle and left midbrain, prominence of the left lateral ventricles and Cavum septum pellucidum. There were also a bunch of other giant words and phrases that I don't understand. It was a huge holy crap moment for us. We assumed that all of her developmental delay were caused by the 6 months of hospitalization, VCFS, and prematurity, combined with the trauma of open heart surgeries. We were having the MRI to diagnose a suspected stroke, or some form of cerebral palsy. Now, I'm confused. I guess it doesn't really matter where her delays are coming from, but we assumed it was the VCFS (the genetic stuff). VCFS is known to cause developmental delay, speech, and learning disabilities. Are her issues coming from the VCFS? the PMG? Both? (probably both) The whole left side of the brain is PMG, but the most abnormalities fall in her expressive language, gross motor, and sensory areas of the brain. I know no one can look into the future, but I'm scared, and want to hear stories of your children that lead relatively " normal " lives (what is normal anyway?!). Thank you so much for allowing me to join your group, I hope to learn a lot. Tara Quote Link to comment Share on other sites More sharing options...
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