Hi everyone,

I am here posting in behalf of my 10-year old daughter. She has been struggling with emotional issues for several years now, and has recently developed hemipalegia on her left side. One neurologist thought that she was having strokes, but a new neurologist thinks that she is experiencing brain atrophy. She has had significant damage to her right frontal lobe, which is the cause of her severe emotional difficulties. We have ruled out almost everything that can cause this in children. She is undergoing testing for mitochondrial disease (specifically MELAS), which is very rare and difficult to diffinitively diagnose. Her symptoms have undergone a rapid progression lately, and we are frustrated because several diagnostic tests have come back negative. She had a MR Spectroscopy that showed elevated lactic acid levels in the right side of her brain, but DNA tests came back negative, and she just had a muscle biopsy that has come back negative except for some biochemical testing, which we have not gotten back yet.

The last couple of weeks have been especially difficult. She is getting increasingly violent as she gets older, and her rages are getting longer in duration. This is difficult because we have two other small children (4 and 2). She hears voices that she talks to all the time, and she does not seem to respond well to many medications. We think that her raging might be connected to her inability to tolerate stimulation (such as crowds, noise, too much activity, etc.) This has also gotten progressively worse. When raging, she goes into a trance-like state until it runs its course (kind of like a seizure). Then she becomes extremely remorseful and scared. She is able to hold it together at school most of the time, but then often rages when she gets home and before she goes to school.

She was a normal, smart, outgoing child when she was younger. This has crept up on us until we no longer recognize our child much of the time. We are desperate for some answers. If there is something to be done, we want to do it. Unfortunately, if she does have MELAS, there is no real treatment other than vitamin supplements, which she is currently taking.

I could add more, but I will not bore you with the details.

I hope that some of you have some advice for us. I hope that none of you have had to go through this, but if you are or have in the past, I hope to learn something from you.

Thank you for listening,

Ann

Hi Ann and welcome to NeuroTalk. I'm sorry for all the difficulties with your daughter. (((((Ann))))

We have a great Children's Health Forum here. http://neurotalk.psychcentral.com/forumdisplay.php?f=9 There are many helpful people there.

Welcome again!

(((((((((Ann))))))))))).

How scary for you both! I'm still waking up, so I may have missed something...Has she had an MRI yet? I think that's the first order of biz. I'd also get EEGs, especially if these things are intermittent.

I second the recommendation to go to Children's Health, too.


Good luck...

LIZARD

Yes, she has had almost every test you can think of:
multiple MRIs, which show the damage in her right frontal and parietal lobes and also a MR spectroscopy that showed elevated lactic acid in her right side; several EEGs; a lumbar puncture, which showed elevated lactic acid; a bunch of blood tests that came back negative (incl. DNA studies - most were negative except some polymorphisms, which may be normal); and a muscle biopsy - we are waiting for the results of the biochemical study, but everything else came back normal. I guess these tests can have negative results even when someone has the condition. It is all very frustrating.

I will find the children's forum. Thank you for pointing me in the right direction...

Ann