Hello. I am posting in reference to my 2 1/2 year-old daughter, she has been diagnosed with hypotonic cerebral palsy, which from a previous post about her about 6 weeks ago, the neuro MD stated is very rare a probably has a metabolic origin. We had her pediatrition order the recommened baseline metabolic work-up consisting of CPK, Lactate, Pyruvate, urine and serum organic acids, amino acids and free and acyl carnitine. Some labs are still pending, but her lactate came back as mildly high--26 (her pedi who we trust--admitted she is not very familiar with these studies but felt that this was nothing to be concerned about)(normal values in her reference book were 12-16,sometimes up to 20). We are not feeling comfortable and wanted another opinion about this mildly high lactate and its significance. Our daughter is motor developmentally delayed and has had a normal MRI at 18monthes of age, cognitivly she is at age level thus far. Any advice of where to go from here is greatly appreciated.
If the blood work was drawn easily and not with difficulty, then we would be moderately concerned. The serum and urine organic and amino acids will help alot in this situation. The MRI being normal is a very good sign (did a pediatric neuroradiology read the MRI?). The fact that she is developing normally with language and fine motor skills is also a very good sign. Hypotonic CP is not a common disorder and we tend to work these children up for metabolic disorders, as your physician has done. I would see what the other outstanding tests come back like and then pursue a further workup if that is positive for a metabolic disorder.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.