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Tamaretta
04-23-2007, 03:00 AM
Hi guys! I have been a "lurker" off and on for 2 years. After 7 years at a well-known children's hospital of constantly hearing "There's nothing wrong with your daughter that counseling won't fix" (how I WISH an anti-depressant and an hour on a couch could heal her) or my personal favorite "Perhaps the mom has Munchausen's??" (can CPS shut this woman up or make her leave us alone?) My (then)14 yo daughter was FINALLY diagnosed at a lesser known children's hospital with multiple spontaneous CSF leaks--unknown cause, therefore unknown cure....same story to alot of you I know. She spent 11 months in the hospital (2 1/2 of those at Cedars with Schievink - Mokri won't see her because of her age). Schievink placed an epidural catheter infusing Elliot B solution and brought her headache down from a "10" to a "5" and she didn't need anti-nausea med to eat. Too bad she developed meningitis and has never been out of bed since --14+ months....FYI - No surgery because in CA they couldn't pinpoint any leaks--despite having 40+ leaks in TX just a few weeks prior--in CA they used a lighter "weighted dye" to do the myelogram. When I suggested they use the same type and weight of dye that was used in TX so we were comparing apples to apples--I was informed that either Cedars or CA didn't allow that heavier weight to be used....We flew home to Texas on an air ambulance. No surgeries here either except to place an intrathecal device.

Unfortunately, while we are much more informed, her quality of life still sucks--she is now 16, flat on her back 24/7 and still her headaches are a "10", with some "pops" occuring in her head that will make her vomit. Do any of you experience that? She said the sensation is like when your ears pop on a plane but this is inside her brain and EXTREMELY painful.

Fortunately, here in Houston, we have an AWESOME team which consists of a pedi neuro, interventional radiologist and a cancer pain mgmt doc who are all fascinated by Taylor's case. The pedi neuro goes to any and all seminars he thinks might be relevant. He also discusses her case with any doctor he can find....He not only diagnosed my daughter with the CSF leaks, he also went back over 6 years of tests/results/history and found that she also has a protein losing enropathy - which might contribute to difficult healing the dura; referred us to an adult gastro (with literature) because based on some bioposy slides (from 6 yrs ago) he thought my daughter has type of colitis called collagenous colitis that is not mentioned in pediatric literature (it is only supposedly an adult disease)--he was right. This fits in with the connective tissue connection......He has been instrumental in getting my daughter the best care. Our pain mgmt doc is actually at the cancer center because my daughter has intractable pain and round the clock nausea (much like a cancer patient) and there are no doctors that are willing to treat pain in kids that's not cancer related..just wanted to give you guys some ideas that he wants to try in the future - He recently purchased (from an army surplus store) a fighter pilot suit for my daughter to try when the neuropathy in her feet improves--hoping the compression on her lower extremeties will help the headaches (and not blow any new holes). He is setting up an appointment with an endocronologist to see if growth hormones might benefit her due to the increased intracranial pressure side effect and the regeneration of tissue growth (healing the dura more quickly) and talking with a new "headache doctor" that just moved here from Boston. The pedi neuro surgeon is also talking with other neurosurgeons about using fibrin glue as a sealant (sort of spreading it from top to bottom). As far as we know, she is leaking from about C-3 to the base of her spine (can't remember the L number). On her last myelogram, the interventional radiologist said her nerve roots "looked like a Marfan's kid" but genetic testing says otherwise.
P.S. The pedi neuro also has a 15 yo male patient with multiple spontaneous CSF leaks from the mid-back down, but his symptoms are NO headaches, but lots of autonomic problems, tremors above 30 degree incline, heart racing, etc. At the same well-known children's hospital in Houston where my daughter was misdiagnosed, his parents were told "we don't know what's wrong with your son, but whatever it is we don't treat it!!!!"

Please feel free to email me with questions, ideas, opinions, whines--you get the picture. I know this doc is a pedi doc, but I think he is really interested in helping CSF leakers. The other patient's mom and I are trying to get him to open a "horizontal clinic" to help all leakers---not just pedi. Sorry for the book......

Concerned Gal
04-23-2007, 07:26 AM
Tamaretta,

I felt physically ill after reading your daughter's story. The fact that she is in her current state is just shocking. I know you wouldn't want pity, but just wanted to let you know we are right here with you and so glad that you shared your story.

Thank you for fighting for answers for your daughter and for the rest of us. Her doctor sounds incredible!

Please come back often and update us :)

eman
04-23-2007, 03:31 PM
Tamaretta,

sounds like you are going through hell. I could hardly believe what you said about the dye. That really pisses me off. I wonder why they don't use that type of dye in California. Could it be potentially more dangerous? It seems downright unfair. Seems like Cedars might only take on the non risky cases. Doctors and liability these days...

When you are talking about spreading the glue, are you talking they will do spinal injections? Or outright surgery and open up the spine and spread the glue that way? Just curious. I'm trying to find someone who is willing to be proactive and try glue on spots where I've had spine pokes. I'm not sure if there is a doctor in the USA that will do that. I'm looking. Also, you mentioned the colitis. I had full blown Ulcerative Colitis, and had surgery for it 2k4. I've had some nutritional deficiencies as a result. Makes me wonder... I wish I had some helpful advice. God bless, and it sounds like you have some doctors that are at least willing to try things.

eman

Tamaretta
04-24-2007, 12:21 AM
Eman, we have not officially met with the neurosurgeon, so I am unsure of the exact answer. I asked the same question to the neurologist. They talked about using a catheter and threading it up? I don't want to give you wrong info, but I will write again as soon as I know for sure.

Concerned Gal
04-24-2007, 05:54 AM
Another Ulcerative Colitis sufferer here! Interesting...

Tamaretta
04-24-2007, 01:01 PM
That is interesting about the colitis! One of the new meds the docs are trying is an immunosuppressant (6MP). After one month, the only decrease in symptoms is no mouth ulcers (which is great because it isn't painful for her to eat) and her joint pains and neuropthy in her feet are down from a "10" to " 9 3/4". The docs did say that it might take up to 3 mos to see any major differences. One of the questions/theories the pedi neuro has is: are the leaks part of an autoimmune attack - kind of like how RA attacks the joints--maybe whatever Taylor has, attacks the lining of her spine and other connective tissues casuing it to breakdown/tear/impair the ability to heal......Just another piece of the puzzle.
BTW - Six years ago my daughter had a portion of her intestines removed due to "Toxic Mega Colon" Anyone else ever had this? (I am compiling all this info for Tay's doc). Have a great day.

Concerned Gal
04-24-2007, 08:31 PM
I've been lucky enough to avoid surgery to date. When I was first diagnosed I think I was Grade 4 and they wanted to whip my colon right out that day, but thankfully after a mighty dose of IV cortisone, I managed to improve. The colitis is still there as seen via colonscopy but I'm functioning.

I'm on Imuran (similar to 6MP) since Oct 2002. In early December 2005, I started to decrease my Imuran from 100mg down to nothing on Drs advice. For the month of January 2006 I was on no Imuran. By the end of the month I was starting to flare so they moved me back up to 50mg first week of February. I stayed on 50mg until July/August when I moved back to 100mg as I was experiencing more and more colitis symptoms.

Interesting fact - When do you think I started having leak symptoms - January 2006. When did I start improving - September 2006 (True I had a blood patch just prior but I'd already had two previously with no significant result). Coincidence??????? My Dr is going to report it to the Medical Board or whatever. But it just reinforces the auto-immune issue here. My body obviously started turning on itself (dura) when I left it to it's own devices and shortly after I started to suppress it a bit, it improved.

And it does take 3-4 months before the immunosuppressants are working their magic. I hope the immunosuppressants will provide taylor will some relief from this pain!

You don't have to answer this if you don't want to, but how is she handling this emotionally?

Tamaretta
04-27-2007, 12:22 AM
She has good days and bad days. Her friends are slowly drifting away..busy being 16. While they are learning to drive, she is learning to sit up (again)....She has one cousin that is close to her age and visits once a month and one friend that still comes over about every 6 mos but that is all....The isolation is further because (obviously) she is homebound from school. If she has not improved to attend school full time in the fall, I am adamant that she will go in her wheelchair for at least one class (BTW - she has a wheelchair that lies completely flat--that is how we go to the movies, restaurants, nail shops, etc.) Her beef (understandably) is she doesn't want to be known as "that sick girl" :(

I am looking into camps, make a wish foundations, etc....The only problem is she isn't considered "terminally ill", just "chronically ill", so she falls into the cracks...As you all are aware there are no "multiple spontaneous CSF leak" foundations YET!!

PS - If it is OK, I am copying your email (about the autoimmune connection) and sending it to the pedi neuro - I think he will find it interesting.

Concerned Gal
04-28-2007, 05:30 AM
No problem (on copying post for your dr). Anything that will help.

I really feel for your daughter. I can't even imagine how it must feel for her. Having gone through this at 25 was tough enough for me. I can't imagine what I would have been like going through it as a 16 year old. That's really interesting about the wheelchair. It would enable her to get out of the house a bit. I hardly left the house other than trips to drs and hospital, so least she is able to function a bit. But I can totally hear her on the "sick girl" thing. I'm constantly living that battle.

Take care all!

guineapig
04-29-2007, 04:41 AM
"leaky gut syndrome" so one of the doctors has told me. hmmmmm, is there another dimension to csf leaks being discovered here?

3 physical dimensions: horizontal, doctor, insurance
1 time dimension: pain
1 gut-to-mininge dimension: yah sure, why not, almost everything else is involved

myheadhurt
03-06-2008, 11:39 PM
Hi,

I am new to the forum and have been reading Taylor's story. As a mother my heart goes out to you. I am new to this world of leaks as I was just diagnosed 6 weeks ago (Jan 2008). I live in Dallas and have not found a doctor with much experience in SIH. I was hoping you might have some referrals for me? So far I know I have at least three leaks around a nerve root sleeve. I am 32 years old and this was spontaneous the day after doing some abdiominal curls. I have had two blood patches that didn't work so far. I welcome any insight and especially appreciate any doctor recommendations you may have in our neck of the woods.
Thanks and healing thoughts to Taylor!