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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Thursday, November 29, 2012

The Plan

Sat with the neonatologist and neurosurgery team today to discuss how to proceed with the shunt surgery & how to plan her move to adlib feedings & prepare for her to go home around this. They decided to test her protein level in the CSF again today (came back at 233 so still going down SLOWLY) and they will do again on Monday morning to ensure they are still going down (hoping near 200).  If so, then they are comfortable proceeding with the surgery.  We talked about if we need to push the surgery back and if this delays her going home- they were willing to entertain the idea of discharging her and me bringing her back to the hospital for daily taps if needed. I am not sure if this is the best idea (risk of infection, driving daily in the winter, etc.) but will think about it and I do not want them rushing the surgery if it is risky. 

We also talked about the procedure itself and how they fully remove the rickham reservoir to place a new shunt (I thought this stayed in and they attached the line to the existing reservoir but this is not the case).  They are determining if they should do a CT Scan or MRI tomorrow to get a better look also to prepare and I prefer MRI since less radiation.  I appreciated the fact that they were willing to sit down with me and collectively discuss our options and make decisions together.

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