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cover of episode Ep. 63 | The Broken Sequence

Ep. 63 | The Broken Sequence

2024/12/17
logo of podcast MrBallen’s Medical Mysteries

MrBallen’s Medical Mysteries

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Mr. Ballen: 本期节目讲述了米勒夫妇的两个儿子卡森和蔡斯患有罕见疾病的故事,起初医生怀疑是基因问题,但多次检查均未发现异常。经过漫长的诊断过程,最终确诊为MEPAN综合征,这是一种极其罕见的线粒体疾病,由MECR基因缺陷引起。该疾病导致男孩们出现严重的运动发育迟缓,无法行走和说话。米勒夫妇在诊断过程中经历了巨大的心理压力和经济负担,但他们始终没有放弃希望,最终通过补充硫辛酸改善了孩子们的病情。 Danny Miller: 作为父亲,我亲历了两个儿子患病的整个过程,从最初的怀疑到最终确诊,我们经历了漫长的等待和焦虑。医生们最初的诊断是脑瘫,但后来证明是错误的。我们尝试了各种治疗方法,也进行了多次基因检测,但都未能找到病因。直到我们找到了未诊断疾病网络(UDN),并进行了全基因组测序,才最终确诊为MEPAN综合征。虽然目前没有治愈的方法,但通过补充硫辛酸,孩子们的病情得到了控制,这让我们感到欣慰。 Nikki Miller: 作为母亲,我见证了孩子们从健康活泼到行动不便的转变,这让我心痛不已。在漫长的诊断过程中,我们承受着巨大的压力,但我们始终相信会有奇迹出现。感谢UDN的医生们,感谢所有帮助过我们的人,也感谢我们自己坚持不懈的努力。 Carson Miller & Chase Miller: 由于疾病的影响,卡森和蔡斯无法表达自己的感受,但他们的眼神中充满了对父母的爱和对生活的渴望。 医生/专家/遗传学家: MEPAN综合征是一种极其罕见的遗传病,由MECR基因缺陷引起,导致线粒体功能障碍,从而影响大脑的运动功能。目前尚无有效的治疗方法,但可以通过补充硫辛酸等方式来改善症状。

Deep Dive

Key Insights

What was the initial concern that led Danny and Nikki to seek medical help for their son Carson?

Danny and Nikki noticed that Carson, at six months old, was struggling to roll over onto his stomach and his movements were stiff and awkward. This was unusual for a baby his age, as he should have been able to roll over and back again.

What was the initial diagnosis given to Carson, and what did it mean for his future?

Carson was diagnosed with cerebral palsy, a group of conditions that affect movement and posture, often caused by brain damage or abnormal brain development. This meant that Carson would have lifelong developmental delays and a disability that could not be cured, but therapy could help manage his symptoms.

Why did Danny and Nikki suspect that their second son, Chase, might also have a similar condition?

Chase, like Carson, was showing similar developmental delays, including a tremor in his hand and difficulty sitting upright. Danny and Nikki noticed that both boys had the same symptoms, which led them to suspect a common condition.

What was the outcome of the initial genetic testing for Carson and Chase?

The initial genetic testing did not reveal any genetic damage that could explain the boys' symptoms. The results showed that the boys' DNA appeared genetically perfect, leaving the family without answers.

What rare condition was ultimately diagnosed in Carson and Chase, and how did it affect them?

Carson and Chase were diagnosed with MEPAN syndrome, a rare genetic disorder caused by a malfunction in the MECR gene. This defect affects the cells' ability to generate energy, particularly in the brain, leading to severe developmental delays and a lack of motor skills.

What treatment did Danny discover that helped stabilize Carson and Chase's condition?

Danny discovered that lipoic acid supplements could help manage MEPAN syndrome. Lipoic acid is crucial for generating energy in cells, and after taking the supplements, Carson and Chase's motor function stopped deteriorating and showed some signs of improvement.

Shownotes Transcript

A couple’s young sons both experience sudden reversals in their physical development, leaving doctors scratching their heads. Nobody understands what’s wrong, because on the surface, the boys seem perfectly fine. But to find the answer, they have to look much deeper.

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