Newly Diagnosed 8 year old

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My 8 year old son was diagnosed 3 weeks ago with adrenaleukodytrophy, what a horrible disease. He has brain involvement, but does not have Addision's yet. My husband and I have fought with dr's since he was 5 years old that his behavior had changed. All they did was diagnose him with ADHD. A year ago, things got worse, to the point that I quit my job to pursue all options. My son now has some issues with gait on his left side, he has extensive neurological issues, confusion and perception, and he gets headaches almost everyday. We are in the process of making the decision of whether to try the transplant or not. I was wondering how other parents made the decision. We have seen specialists in University of Minnesota hospital, and they have told us that they cannot tell what would happen to him after. He has affliction in the back part and front part of his brain, and it is also in the middle. My son was a very active child, he was even a great football player up to this past year. He realizes that he cannot do most of the things that he use to. This has to be the hardest decision that my husband and I have ever had to make. I was wondering what experiences others have had with both doing the transplant and not. The drs have said that they have not seen a case like his, but once, and even that childs was not as bad. He seems to still be doing well, he can see, but is starting to have some issues, but he can still get around and can hear and eat. Please, we are looking to try and find answers to where others were at the time of transplant and what happened later.

10 replies

I don't have an answer for you but I would like to welcome you to the community. Our prayers are with you as you make your final decision. I can't help but feel like there has to be another way other than transplantation but I am no doctor. Just hopeful that there will be a cure found sooner than later that won't involve poking and prodding our little boys. I'm tired of all the hurt and worry. I don't understand any of this. I guess that's what brings us all together. We want answers. I'm sending blessings your way and to all of the others who deal with this disease.

Hi,
I am so sorry to hear about your sons DX. There is another Mom on here whose son was transplanted at University of Minnesota for ALD. She may not have seen your post but hopefully she can help you. My son has MLD and had the tranplant at Duke in May 07. I can tell you about our experience. Jared has the late infantile form. He was 3 when dx. He still walked but sometimes needed assistance. He could still say words. He could sit up fine, eat everything. He used his hands just fine. Laughed, smiles and was happy. Now he can no longer walk, talk and is fed through g-tube. He still smiles, is very happy and interacts well. We are trying to get him a communication device because he is cognativly aware. We knew these things would most likely happen going into transplant. Our hope was to stop the progression until a better treatment or cure comes along. Hope this helps you. I know these are the hardest decisions of your life. Keeping you in our prayers. Jareds cb is www.caringbridge.org/visit/jaredkerr if you want to read about the transplant.

I am so sorry to hear about your son. We are going through a similar experience and will be heading to MN next week to meet with the doctors. Our son is 14 and we saw the same changes and fought with doctors to get them to believe that something besides ADD/LD was going on. It makes me so angry that we had to wait so long for an MRI and now it may be too late. I hope that we can all ban together to get things changed and to teach doctors about early dx. We are going to have to make the same decision and I don't know whether to transplant or start travellng and trying to enjoy life with our son. My prayers are with you-please keep us posted.

No one can tell you what decision to make. Thats something only you can do. I can tell you though my nephew is 6 was just diagnosed 5 weeks ago with ALD. He has not had any symptoms except for his adrenal problems. As far as the other part of this disease he is healthy. My sister was contacted by a doctor from Duke University here in NC. He talked to my sister about bone marrow transplant and is saying he has a 98% chance of halting the disease. Now I know and my sister knows that anything could happen. It is a hard choice to make putting your child through what he will have to go through and then know it may not work or it may come back. But when the doctor told my sister her son had 3 to 5 years well she couldnt accept that. She has decided to go on with the transplant and her and her son is at Duke as of yesterday to start his testing for the transplant. Yes we hope and pray for a full recovery but know it may not happen that easily. We as a family have turned it over to God and the doctors. Anyway its a decision only you can make. Good luck with whatever you decide and Know you are in my thoughts and prayers.

So sorry to hear about your son. Our son was 22 when he was diognosed with ALD. Involving his frontal lobes. To make a long story as short as possible, we ended up at the University of Minn. Dr. Charlie Peters was the main Dr. we saw there. Dr. Charnas was the neuro doc. There was at the time a Dr. Loes (I may not have the spelling correct) who was a radiologist who rates the damage of ALD. This is his specialty. There is a scale at which they think it is a ''safe zone" for the BMT. Our son was at the high end, a score of 15. Usually that is too much for the BMT. However after meeting him, he was at such a function level they decided to take a chance. At this point we felt we had no choice but to try. Our son was in agreement. For Matthew there were many complications and we were there 6 months. Sorry to say he is on a feeding tube and is unable to communicate. We did see young boys return to see the nurses who had done very well after the transplant and were having full lives. Dr. Orchard I think is still there and he would be great to talk with. We really love him. I wish you so much hope with your son. Please contact me if you like.

Brenda bmcdougaldson@yahoo.com

Well, after weeks of drs and headaches, on my part, we have been to MN and talked with Dr Charnas and Dr Tolar. They said that they would do the BMT, but they have no idea what condition my son will be in when he is done. He has involvment in both the frontal lobes and in the back. His damage is also going from the interior of his brain out. They told us that they have never seen a case to his extent. He is loosing his sight now, and his ability to eat. He is choking alot now. He is still getting around well, however, when he gets tired he needs to be carried. It is getting to be very difficult to see. We have been battling with our local hospital to administer the protocal of meds that Dr Charnas has prescribed, but we are taking it one day at a time. We are trying to spend as much time with our son as we can. He has declined so rapidly that we feel like time has slipped away. Were any of the other boys still mobile before transplant? After? We are worried that if our son loses his sight, which the drs agree he will, and loses his ability to move, that he would not adjust well. He is also losing his cognitive understanding so we can not ask him what he wants either. This is a terrible situation that I would not wish on my worst enemy. I just hope that we can find the strenght to make the right decision.

My nephew also had ALD. Went to MN to talk with the dr.'s and they said they could not predict the outcome. He could still walk, talk, and eat. He did have Addison's. He had his bone marrow transplant in early Nov. 1999. He was doing fine for the first few months then started to have seizures every once in a while. Then he went downhill from there. Couldn't walk, couldn't talk, couldn't eat or communicate, went into a coma like state. He passed away in Oct. of 2000.

I am not telling you this so that you won't have the transplant. I am just telling you that if they tell you that they don't know the outcome and can't give you a guesstimation then they really do not know what the outcome will be.

How old is your son today?

Thank you britt_carrier for your information. My husband and I have decided to wait on the transplant. He is still getting around, eating talking and hearing. We have decided that we do want to hasten the process and are going to do everything we can with him while we can. We may change it later on, but for now are enjoying our baby. I read your other post about your sister. It is a very scary thing, but myself and my daughter will be tested. I am 31 and have begun having problems with my hands, feet and back. Now I am wondering about it. I had a sister that passed away when she was 17, but they still had no explanation for her condition. She had problems with her back and legs. I have read some stories of girls that had the physical conditions that the boys experience. Not many, but a couple. I have learned that my father may be the "carrier" that passed it to me and possibly my sister. The drs told us that it may have layed dormant in my grandmother, who would pass it to her sons with no symptoms. Then they would pass it to thier daughters. The daughters would be carriers and possible develop symptoms later in life, but that they would pass it on to their sons who would develop the disease. It seems complicated, but does make sense. We are going to head to Hopkins to see Kim. She seems great. We have been to MN, but my husband still cannot accept everything and wants to head to Duke for a second opinion. What do you guys think?

I had a son pass away 15 years ago from ALD and have another son who is now 24 and asymptomatic but has adrenal insufficiency. Kim and Dr. Raymond at John Hopkins are the best. Dr. Moser was one of the top Dr.s working on ALD and then Dr. Raymond took over. You will really like them . They are very informative and open about everything. We have been going down there since 1992. Will gladly talk to you if you like. my email is coco1252@aol.com

hi, we have a 7 yr old son who has ALD. He is going for his 2nd transplant in MN. The first one he didn't engraft. we spoke to Duke and MN and they both said to act very quickly. with this disease, i'm sure you know, you cant wait(even a little) to make a decision. if you're waiting to do the transplant a little later, the symptoms may be a lot worse. the better you are going into the transplant the better the outcome( less symptoms the better). if you would like any more info from us on our experience our e-mail is genci@hotmail.com

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