Baby Rafferty / Early Infantile Epileptic Encephalopathy

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daddypig

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Hi All,

My son is 5 weeks old today, on day 3 he was admitted to intensive care and lived there up until last Thursday when he was transferred to a regular childrens ward.

In the first few days at home we noticed occasionally he would shake, look 'distant' and then hiccup. We initially took this as him needing winding as otherwise things seemed fine. We were more concerned about the amount of sleep and lack of hunger in him which resulted in many phone calls to the midwife. Our first child was always hungry and never slept, so in our minds either he was the total opposite or something was not quite right.

On day three my wife was on the phone repeatedly trying to have a midwife visit, at this point he was in my arms when his eyes rolled up into the back of his head, he went bright red and his body curled up into a ball.

He was rushed into A&E and on to intensive care. He underwent CT scans and EEG scans to try and pin point what was wrong. Initially they thought his quick birth (bathroom floor in 15 mins) caused a swelling and bleed on the brain which in turn was causing the seizures and that hopefully this would heal and our baby had a good chance of recovery. Unfortunately this was not the case.

To fast forward... after under taking further CT scans, MRI, multiple EEGs , being hooked up for a week to a continous basic EEG machine, 3 lumber puntures, uncountable blood tests and a biopsy for muscle tissue the doctors now believe there was no swelling or bleed on the brain. The nuerologist called it either 'catastrophic' epilepsy or i believe he said Early Infantile Epileptic Encephalopathy.

He has been on 5 different drugs, none of which appear to have helped althoug hhe has had ups and downs - some days fitting every 45 minutes, other days going up to 5/6hours. Today he is fitting every 30 minutes. When he fits he really really stuggles to start breathing again, usually requires oxygen, sometimes manual intervention.

The latest they have tried is Vigabatrin, which has done little but kept him slightly more awake than the others (= more cuddles though).

As of tomorrow he is starting a ketogenic diet.

The doctors were blunt several weeks ago about his chances of survival and his life quality if he does survive. I find it hard to take as he seems so normal inbetween his seziures - he crys for cuddles, waves his arms and legs around with good strength.

I would be grateful to hear from anyone who maybe has been through similar, or just anyone wishing him well.


Love to All,

Jon, Nina, Nathaniel and Rafferty.
 
Hi daddypig, welcome to CWE!

No answers to offer, but definitely sending good wishes and huge hugs to your son and your family. I hope you see marked improvement with the ketogenic diet. I assume the docs tried Zonisamide as one of the drugs but if not, it might be worth trying (it has helped in some cases of EIEE). Is surgery a possibility or no?

Best,
Nakamova
 
Hi daddypig, welcome to CWE!

No answers to offer, but definitely sending good wishes and huge hugs to your son and your family. I hope you see marked improvement with the ketogenic diet. I assume the docs tried Zonisamide as one of the drugs but if not, it might be worth trying (it has helped in some cases of EIEE). Is surgery a possibility or no?

Best,
Nakamova

Hi there,

I don't believe (at this moment in time) surgery is an option. The scans were showing the seizure activity as all over and not in a specific area.

They were basically deciding on steroids or this diet, and have quite gone the diet option which apparently is very unusual but was our prefered option.

I don't recall Zonisamide but am in the uk so it might be under a different 'brand' name
 
Hi Daddypig, Welcome here on CWE,

My son has a nasty type of epilepsy too. He has tried over 10 meds and none of them helped a bit. Since he is 5 years old, he is on the keto diet, it reduced his seizures by 90% and improved his EEG > 70%. Your kid will get the ketocal formula I suppose. Good luck!
 
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Really hope the Ketogenic Diet works.

Here is another approach:

"Neonatal Vitamin-responsive Epileptic Encephalopathies"

"present as neonatal encephalopathy with anticonvulsant-resistant seizures."​

Taken from the following URL:​

http://memo.cgu.edu.tw/cgmj/3301/330101.pdf

**DO NOT ALTER ANY MEDICATION WITHOUT YOUR DOCTOR'S CONSENT**

Regards,

Andrew
 
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Thanks for the info

Just to expand a bit, when he was first in Intensive care they struggles to diagnose what was wrong, so they put him on all kinds of antibiotics and vitamins 'just in case'. They used the term inborn errors of metabolism a few weeks back but then retracted it after results came back for a few things... so they don't think the problem is metabolic. All the EEG and MRI results showed things look as they should structural wise but just that there is alot of seizure activity going on.

Fingers crossed the diet gives him some relief, the last few days he's been getting more frequent. they were meant to induce it over 8 days but have already reduced it to 6 days now.
 
Hi Daddypig,

I just came across your posting from earlier this year. Reading your first post is telling story of what my daughter is going through. My daughter is 3months old right now and is diagnosed with epiliptic encephalopathy. She has been unresponsive to three different medications.

How is your son doing? How did the ketogonic diet work?

Thanks in advance for sharing.
 
Hi yana's mum,

Rafferty has had a roller coaster ride so far. He even made it into a national newspaper!

express.co.uk/posts/view/343839/We-re-just-happy-our-son-is-alive


If you are on Facebook there is a very good group called 'ohtahara syndrome' which has families all over the world connected sharing advice and ups and downs.

Rafferty also has his own page called 'Rafferty's ohtahara' which we update regularly

Please do not hesitate to contact me or the above groups for support.
 
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