August 31, 2012 through October 1, 2012, Maddie spent her
time fighting for her life and getting her seizures controlled at the Children’s
Hospital. She had started an additional anti-seizure medication called Onfi (Clobozam)
in addition to two other AEDs (anti-epileptic drugs) on August 21 and became
more lethargic with increased seizures. At the hospital, she was given
emergency seizure meds and one or more of them could have possible made her
seizures worst because the real cause of all her special issues is still
unknown. She ended up having generalized status epileptic seizures which means
she was seizing nonstop (subclinical: the ones we couldn’t see and only through
EEG readings) and no seizure meds were able to help her which forced the
doctors to put her in a medically induced pentobarbital coma. This was
extremely scary for us as we were told by the PICUneurologist that 20-30 % of
individuals die from epilepsy especially if the seizures were intractable to
all kinds of drugs. When she was being weaned from the coma, she began having
more seizures so she was placed in a deeper coma. Anytime, she would be stimulated (blood draws
or diaper changes) she would have clinical seizures. The PICU staff decided to
try a ketogenic diet along with steroids to see if that might help. She was
able to come out of the coma and was able to go on the general pediatric floor
on Tuesday, September 25. Maddie was seizure free for 8 days with the addition
of the ketogenic diet, Phenobarbital along with Keppra and Topomax to control
her clinical seizures. She began having more seizures that Tuesday night and
was finally released from the hospital on Monday, Oct. 1 with intractable seizures
still and a discharge diagnosis of seizures: regressive epileptic encephalopathy. It means her brain is dysfunctional and no
one knows why. As of right now Maddie sleeps throughout most of her day with a
few hours of awake and she still has some breakthrough seizures, her energy level is low and she smiles
briefly at us each day…we are praying that her seizures will not become more
progressive and get worse….
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