Good morning.
New parent/member here, heads up this is a bit long ( sorry in advance).
My son is 17 months old. Diagnosed with mild HIE at birth. Since then he has been diagnosed with both hyper/hypotonia, gross motor delay, macrocephaly ( 53cm/20.9 inched at 17 months, speech delay, mild myelnation delay and babbles but no words.
Recently started having seizure like episodes( 3 in past 2 weeks). He also trips over nearly everything and tends to bump into walls etc.
He has had 2 EEG’ that were normal before seizure like episodes ( 3rd schedule on 14th)and 2 MRI’s, most recent was last week.
This is a copy paste of his MRI report. We are in the process of getting a 2nd opinion but we have to wait until Nov for the appointment.
EXAM: MRI BRAIN WITHOUT CONTRAST.
CLINICAL HISTORY: persistent developmental delay and macrocephaly ;Gross motor
delay ;Increased head circumference ;Mild hypoxic ischemic encephalopathy
(HIE)
TECHNIQUE: Multiplanar multisequence MRI of the brain was performed without
contrast.
COMPARISON: 9/6/2018
FINDINGS:
No acute infarct, hemorrhage, or mass. Interval progression of myelination,
within limits for age. However, white matter volumes remain slightly low with
heterogeneous T1 and T2 signal. Focal areas of periventricular T2
hyperintense, T1 hypointense signal in the periatrial white matter would be
compatible with provided history of mild hypoxic-ischemic encephalopathy. More
prominent enlargement of perivascular spaces with cystic/tubular morphology.
Interval decreased enlargement of subarachnoid spaces bifrontally and at the
vertex. There has also been improvement in appearance of mild ventriculomegaly
and cavum septum pellucidum et vergae. Corpus callosum has a slightly gracile
morphology. Hippocampal formations are relatively symmetric. Brainstem and
cerebellum have normal in morphology.
IMPRESSION
1. Decreased but persistent enlargement of subarachnoid spaces.
2. Mildly heterogeneous white matter signal, which could be seen with static
or early progressive encephalopathies.
While I’m not looking for diagnostic information I’m at a loss as to what questions we should be asking both his current neurologist and at the appointment for the 2nd opinion. His current neurologist blames all his issues on his macrocephaly.
Any suggestions or advice on questions we should be asking his doctors?
Thanks in advance for any help.
New parent/member here, heads up this is a bit long ( sorry in advance).
My son is 17 months old. Diagnosed with mild HIE at birth. Since then he has been diagnosed with both hyper/hypotonia, gross motor delay, macrocephaly ( 53cm/20.9 inched at 17 months, speech delay, mild myelnation delay and babbles but no words.
Recently started having seizure like episodes( 3 in past 2 weeks). He also trips over nearly everything and tends to bump into walls etc.
He has had 2 EEG’ that were normal before seizure like episodes ( 3rd schedule on 14th)and 2 MRI’s, most recent was last week.
This is a copy paste of his MRI report. We are in the process of getting a 2nd opinion but we have to wait until Nov for the appointment.
EXAM: MRI BRAIN WITHOUT CONTRAST.
CLINICAL HISTORY: persistent developmental delay and macrocephaly ;Gross motor
delay ;Increased head circumference ;Mild hypoxic ischemic encephalopathy
(HIE)
TECHNIQUE: Multiplanar multisequence MRI of the brain was performed without
contrast.
COMPARISON: 9/6/2018
FINDINGS:
No acute infarct, hemorrhage, or mass. Interval progression of myelination,
within limits for age. However, white matter volumes remain slightly low with
heterogeneous T1 and T2 signal. Focal areas of periventricular T2
hyperintense, T1 hypointense signal in the periatrial white matter would be
compatible with provided history of mild hypoxic-ischemic encephalopathy. More
prominent enlargement of perivascular spaces with cystic/tubular morphology.
Interval decreased enlargement of subarachnoid spaces bifrontally and at the
vertex. There has also been improvement in appearance of mild ventriculomegaly
and cavum septum pellucidum et vergae. Corpus callosum has a slightly gracile
morphology. Hippocampal formations are relatively symmetric. Brainstem and
cerebellum have normal in morphology.
IMPRESSION
1. Decreased but persistent enlargement of subarachnoid spaces.
2. Mildly heterogeneous white matter signal, which could be seen with static
or early progressive encephalopathies.
While I’m not looking for diagnostic information I’m at a loss as to what questions we should be asking both his current neurologist and at the appointment for the 2nd opinion. His current neurologist blames all his issues on his macrocephaly.
Any suggestions or advice on questions we should be asking his doctors?
Thanks in advance for any help.
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