My Journey with hydrocephalus and Cerebral Palsy

Morgan Grace was born 3 1/2 months early on Aug, 21, 2012 weighing just 1 lb 7 oz and 13 inches long. Morgan was hospitalized at Children's Hospital NICU in Minneapolis, MN for 108 long days. During this time she encountered many medical challenges common to "micro preemies" but most devastating was to hear she had suffered from grade III/IV Intraventricular hemorrhage (IVH / brain bleed). We were told she may never walk or talk and they would not be able to tell the severity of the damage until she is older. The IVH resulted in Hydrocephalus, a condition she will have for life. At two, Morgan was also diagnosed with Cerebral Palsy.

I have found it very difficult to find information online - stories and information on hydrocephalus, shunts and people's experiences - so decided to write this blog to share what we have been through. I hope some day that Morgan can take over writing from her perspective. More importantly I hope maybe it can shed some light for other hydrocephalus and Cerebral Palsy patients and families. We welcome comments and questions.


From Wikipedia, the free encyclopedia:

Hydrocephalus is also known as "water on the brain", is a medical condition in which there is an abnormal accumulation of cerebrospinal fluid (CSF) in the ventricles, or cavities, of the brain. This may cause increased intracranial pressure inside the skull and progressive enlargement of the head, convulsion, tunnel vision, and mental disability. Hydrocephalus can also cause death. It is more common in infants, although it can occur in older adults.
The cause of Cerebral Palsy is a brain injury that occurs while the brain is developing. As a result of the brain damage during brain development a child's muscle control, muscle coordination, muscle tone, reflex, posture and balance can be affected.

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Saturday, September 22, 2012

First Tap

The neurosurgery nurse came in this morning and removed the bandages from Morgan's head- it actually looked a little better than expected.  Poor girl already had her first hair cut/shave (which they saved for us in a bag). She showed me how they insert the needle into the reservoir (just a bump under the skin with stitches around it) and pulled out the fluid.  They plan to tap this daily until they get to a "normal" level of CSF in the ventricles.  They cannot remove all of the excess fluid at once because the ventricles could collapse causing the brain to pull away from the skull.  The hope is that after we get to this baseline point her head may start to drain some on its own because as they tap the CSF it removes much of the blood clotting in the fluid which potentially could be what is "clogging" it.
The nurse also showed me how her soft spot became soft after they tapped- sort of felt like a water balloon- which we have never felt before since the fluid build up made her soft spot feel hard.  She also showed us how her soft spot was several cm's from the edges of her skull bones and explained how it should look in a non-hydrocephalic baby.  This is the first time I realized how enlarged Morgan's head really is- its hard to notice since it grew to this point so slowly and the fluid build up just caused it to continue expanding.

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