Boy, Interrupted
http://discovermagazine.com/2007/nov/boy-interrupted
At the age of 3, Cody Cawood seemed to be developing like any other child with cerebral palsy but in October 2000 something went wrong. One night, his mother found him lying in his own vomit. A local pediatrician told her there was nothing to worry about. Cody's condition worsened very quickly and it became quite apparent that Mrs. Cawood had plenty to worry about. Cody's communication regressed into small single words and finally into rageful tantrums of violence. Intitial EEG's and MRI's showed nothing out of the ordinary. Numerous doctors prescribed a multitude of medications, none of which worked. Finally, in September 2001, epileptologist Kore Liow, monitored Cody for 5 days with a video EEG and diagnosed him with Landau-Kleffner syndrome (LKS).
The disorder is characterized by abnormal electrical brain waves, nocturnal epileptic seizures, and sometimes hypersensitivity and aggression and most often occurs in children ages 3 to 7, affecting the child's ability to use and understand language. But now that the diagnosis had been given, what could be done for Cody and others with LKS? Unfortunately, 50 years after this disorder was discovered, not much is known about how to treat LKS. "I'm very discouraged- we haven't learned much at all," says Dr. William Landau, part of the syndrome's namesake due to his research in the field, "We know nothing about cause yet."
Similar to other epileptic disorders, children diagnosed with LKS will often resume normal brain activity around age 15, when the brain cells are nearing maturity. One patient, diagnosed with LKS at age 5, says that she lived a "relatively normal life". She is now 52 and runs a ranch in Montana. Some more timely treatments include steroids, intravenous immunoglobulin therapy, surgery, and most common and widely accepted, aggressive speech and language treatment.
Seven years after the onset LKS, Cody still shows no progress. His family is planning to put him in an adult handicapped home after he finishes school when he will be 21 years old.
This article was mostly discouraging and sad. Doctors seem to know little or nothing about what causes LKS and are basically stabbing into the dark about how to treat it. The story of Cody included in the article offered little scientific knowledge, but was very sad and made you sympathize with kids with LKS and their families. Much more research needs to be done before any universal treatment can be proposed.
3 Comments:
What is truly bizarre about LKS is that children who could already read or write retain those abilities, and some patients can communicate with sign language. While the fits of rage and self-mutilation are a result of the brain abnormalities seen in LKS patients, I wonder if they are triggered by the frustration and lonliness of not being able to communicate. Like Landau, I desperatly wish more studies were being done. For example, do children who retain some means of communication have the same level of violent expression as those, like Cody, who don't?
LKS really gives us insight into the value of language, especially spoken language, and the terrible state of a life without it.
wow, what a depressing article. It's scary enough to think that your child may have cerebral palsy but then to learn that he has LSK which seems to worsen before it gets better. When normal brain activities resume do people with LSK become fully functioning adults? I hope they can at least find what it is that causes LSK soon, so that we may help prevent an increase in these cases in the future.
I find it sad that there is not more research being done to discover the causes of diseases such as LKS. It would be horrible to not be able to communicate, because communication it what links each of us to everyone around us. I think it would be interesting to see whether or not the outrages are symptoms of LKS or if they are just brought on by it, but the brain is so complex that finding out information such as this must be extremely difficult.
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