Loved Dr Chugani (aka Dr Rockstar)!
The hospital was nice. The nurses were great and patient with Noah's helicopter mom. Overall, we had a pleasant experience. Noah probably doesn't agree but he hung in there like a champ. He didn't sleep well or eat well (SURPRISED?) but now that he's back in his carseat, he's sleeping away despite what's going on in his brain.
I can't read EEGs but I do recognize chaos when I see it and his is very chaotic. Poor little guy doesn't ever really get a break from massive electrical activity (confirmed by Dr V).
So, what can we do?
Since Noah's EEG is such a mess they can't really see the area of origination of the seizures with absolute certainty. So Dr. C would like Noah's EEG to mature (clean 'er up a little bit). His suggestion was to start the keto diet and if that doesn't help then a round of ACTH. So, not exactly what we'd hoped (I really wanted to go straight to the OR and get on with it) but it's not a "No". There was a spot on the PET Scan that indicated an area where the seizures start but he wants the EEG to support that to make sure that's THE one and there aren't more.
Looks as if some of Noah's brain cells didn't quite make it to their destination and started a little party a little south of where they should have which caused him to develop seizures.
Next, and this is what I didn't expect, Noah got a diagnosis of Choreoathetoid Cerebral Palsy. Say that three times really fast! Argh! Cause: Noah's second surgery (removed the tumor from his spinal canal) caused a lot of blood loss. He actually got 2 Units of blood in the OR and two more in the NICU later that day. When that happened he sustained brain damage. His basal ganglia and thalamus don't metabolize sugar like they should, but it's a gross motor/muscle issue. Good news, his cerebral cortex showed pretty good metabolism, so there's cognitive potential there (if we stop seizures).
So our little man has been hit with a double WHAMMY! We got the "your son is an interesting case", again.
We did hear from Dr L and he said we were FINALLY cleared for the keto diet (starts on Nov 9th) and we get to start weaning another med. So it's not all bad news!
We are tired and worried and... I could go on and on with adjectives, but you get the picture. So, I'll post more as I remember and as I process a ton of information through my exhausted brain!
Thank you so much for the prayers and support. :)