Monday, March 2, 2009

On the left, a snowy view from our trip to Duke.


Josh below before the onset of pseudo tumor cerebri.




















Pictures of Josh's stitches when the bandages came off.


Josh had his post op visit today at Duke. Dr. Grant told us that Josh's CSF pressure was so high the day of the surgery (near 50) that it was amazing that he was even able to walk. That just shows us even more the grace of God through this.


His visit went very well. He is being taken off all medicine. He has had only one dull headache since the surgery. Dr. Grant said that his brain had been sick for a long time and it is going to take about three months to get back to full strength. Josh asked to go back to school and the doctor agreed to let him go half days starting Monday but he still needs to take a nap everyday to help with the healing process. Once his body adjusts to half days he can start back going full days. He still can't participate in PE or do anything strenuous until April.


Thanks to everyone for their prayers, calls, e-mails, gifts, etc. We can't begin to tell you how much it helped encourage Josh and helped us with our many trips to Duke.
There were a few slick spots but overall the interstates were in good shape. The side roads were in very icey though.


Monday, February 23, 2009

Our Ordeal With Pseudo Tumor Cerebri





Our eleven year old son, Josh just had surgery for Pseudo Tumor Cerbri also known as benign intercranial hypertension. There is no cure for this disease. The road to treatment has been a long one.

It all began on Sept. 29, 2008. Josh was at football practice when he suddenly had the worst headache of his life. He could barely talk the pain was so bad. When we noticed that he could not walk straight and was losing his balance we called his pediatrician and took him to the ER. They took a CT scan but he never saw a doctor. We waited three and a half hours for the pediatrician on call to show and no one ever did. He finally asked to go home.

We took him to his pediatrician's office the next day. It took a week but they finally diagnosed him with mono. He was on 800mg of Ibuprofen every 6 hrs but usually only lasted less than four before the headaches would return.

The headaches continued for five to six weeks with the Pediatrician saying it was mono. When they could not further explain it they said it was all in his head. That was the last time we took him to that particular group of Pediatricians associtated with Carolina Pines Hospital in Hartsville, SC.

We changed to Dr. Tim Spence in Florence, SC. He got us in with a neurologist the same day. Unfortunately, after MRI's and visits this neurologist diagnosed him with a sore neck and recommended physical therapy along with Topamax, muscle relaxers, and strong chronic pain medicine that would make him high. We went straight from there to the chiropractor. Dr. Jackson gave him some relief after the first visit but the next couple of adjustments didn't offer any relief. He was honest enough to tell us up front that he could adjust his spine to help the body heal itself but some conditions called for a medical doctor.

At this point it had been over 10 weeks of daily headaches, joint pain, dizziness, and just feeling miserable. Someone I work with recommended Duke University hospital.
We contacted Dr. Gerald Grant Pediatric Neurosurgeon at Duke Children's hospital.


Dr. Grant scheduled a spinal tap which showed elevated Cerebral Spinal Fluid (CSF) pressure. He put Josh on Diamax to lower the pressure. We thought it worked at first but within a few weeks his symptoms returned with a vengence. He did another spinal tap which revealed his pressure was 41. It should be between 5-15. Dr. Grant scheduled a surgery to place a shunt in his head in which a tube is put in the ventricle of his brain in order to drain off excessive spinal fluid. Here is a video that explains the surgery. http://www.cancer.duke.edu/btc/modules/learningcenter15/index.php?id=1

In the three days since his surgery his symptoms have improved. He hopes to go back to school for the first time in five months soon.