Miss Mira: Dietician Visit

Monday, August 13, 2007

Dietician Visit

We had a visit with Mira's dietitian for some guidance this afternoon. We were able to get some recipes and other information to help us successfully move forward with the diet. We haven't been able to hit the 10 gram limit lately, since our meal planning with Mira has been difficult.

One of our trouble spots with the diet thus far also has been getting Mira to drink enough fluids, so we will be supplementing her fluid intake with Ketocal. We are going to start preparing meals in advance, more within the 4:1 ratio of classic Ketogenic Diet, the difference being in that she can eat as much as she wants, so long as it is within the ratio and/or the 10 gram limit.

There will be a considerable amount of tweaking with the diet over the coming weeks.

1 comment:

Mrs. Nancy G said...: You sure are a wonderful Mommy by sticking to such a strict diet. I am hoping that you can find the balance.
:-); August 15, 2007 at 2:17 PM

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Mira's Brief Story

Mira was diagnosed with Infantile Spasms (I.S.) in September 2005. Since her diagnosis is part of larger picture of issues, including developmental delay, and hypsarrhythmia, Mira was originally diagnosed with West Syndrome.

Hypsarrhythmia represents a completely chaotic and disorganized EEG background pattern consisting of high amplitude slow waves and spikes that are asynchronous, non-rhythmic, and variable in duration. The common combination of seizures/spasms, developmental delay, and hypsarrhythmia constitutes the form of infantile epilepsy, West syndrome.

Since Mira has what is described as a catastrophic epilepsy and has multiple seizure types, she has also been diagnosed with Atypical Dravet Syndrome (SMEI), Lennox-Gastaut Syndrome (LGS), and at even Atypical Rett Syndrome. While a host of early genetic testing failed to find a typical mutation, deletion, or mosaicism in the typical genetic markers for these syndromes, it does not rule out other possible associated genetic markers that have yet to be discovered. Mira has also been tested for a series of other random genetic syndromes, through partial genome sequencing and a few individual microarrays.

In 2015, a heterozygous mutation of TPP1 was found through a genetic epilepsy panel. We do not have a definitive answer as to whether this mutation (associated with NCL - Neuronal Ceroid Lipofuscinosis) is relevant to Mira's diagnosis.

Mira has tried nearly every anti-seizure medication, finding brief 'success' with Lyrica, her 14th medication. Mira was seizure free* for about 6 months in late 2007 and into early 2008.

*(Her EEG never improved during this period, which means that she was still clinically having seizures and that the Lyrica was simply masking the symptoms. Visible seizures slowly surfaced after about 5 1/2 months of being on Lyrica.)

She received weekly OT/PT, vision, feeding, aqua, and group therapy up until 2011. She now receives PT/OT and other therapies through the school district. Mira also did hippotherapy for the summer in 2008 as well.

For Mira's longer story, please visit the January 2007 Archive. For an explanation on this blog, visit the January 2, 2017 post.

Medications Tried - in Chronological Order