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Questions about genetic testing. (Read 5237 times)
Danielle
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3 year old daughter with
Moyamoya disease

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Michigan
Gender: female
Questions about genetic testing.
Jun 11th, 2009 at 12:26pm
 
Hello, My daughter has multiple birth marks on her back and one on her face. Along with the moyamoya the eye doctor suspectes Sterg Webber Syndrom. He is checking her for glaucoma every six months. Now the neurologist wants us to get genetic testing done. The only thing that can be done for Sterg Webber is revascularization surgery which she already has had done. Also an aspirin regimin which she also gets.  The doctor says it won't change treatment it will only add one more name to her diagnosis. What I am most worried about is them drawing her blood. She has such small veins. They really have a hard time getting a vein. I have also been told she has a lot of scar tissue from all the pokes she received while in the hospital.  So my question is should I go though all the trouble? Has anyone had genetic testing done yet?
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KTiller
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Freeland, USA, usa, 51, 28, WA, Washington
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Re: Questions about genetic testing.
Reply #1 - Jun 11th, 2009 at 6:21pm
 
Hi Danielle,
Don't blame you a bit for wanting to spare her any more discomfort. It's possible to use any tissue for genetic testing. For the Moyamoya genetics tests done at U of Texas, a saliva sample was requested, though they would accept blood or a plug of tissue as well - I chose spit. You could ask your doctor if he can take a swab of her mouth to test that tissue instead.
I don't know anything about Sterg Webber, but if she should have it you'd want to know in case she has other symptoms that are due to it's influence. Should they find better treatments and cures for it, you'd want your doctor to be on alert so that your daughter could be helped. Just my thoughts. I can only imagine how difficult it must be to make these decisions for your child.
Kim
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Michele
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Yankton, USA, SD, South_Dakota
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Re: Questions about genetic testing.
Reply #2 - Jun 11th, 2009 at 8:42pm
 
I also provided a saliva sample for testing.  I agree with Kim, I think I would want to know as much info as possible for future treatment as far as possible syndromes, etc. 
Michele
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Michele
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Yankton, USA, SD, South_Dakota
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Re: Questions about genetic testing.
Reply #3 - Jun 11th, 2009 at 9:06pm
 
I was unfamiliar with this syndrome, so I did a quick google search.  I also have a large vascular birth mark that I always wondered about with the MM.  I came up with this website.
http://www.sturge-weber.com/factsresearch.asp

What a great foundation....they have developed a guide for emergency room visits (How great would that be to NOT have to wait for people to look up MM on the net to get a clue)
Also they have quite an extensive document to track medical care, providers, visits, medication, etc.  This includes a place to log seizures, headaches, etc.  What a simple yet extremely useful tool.  Here is a link.  I think I will definitely start using parts of it for my MM!
   
http://www.sturge-weber.com/medical_record_forms.pdf

(I will probably somehow modify it a little to include my blood pressure log.)

Michele
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Becky
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Stroke10/03, Diagnosed6/04,
Unilateral Surgery9/04

Posts: 532
Minneapolis, USA, usa, 303, 84, MN, Minnesota
Gender: female
Re: Questions about genetic testing.
Reply #4 - Jun 12th, 2009 at 12:28pm
 
Not to throw a wrench in the grears but I don't have any birthmarks. i also gave spit and blood to the University of Texas Genetic Study. My Mom and Dad also sent in spit samles. I don't think you should wait for the genetics testing before you do something about your disorders but I would deffinitly talk to Dr. Stineberg's group, since he is the leading expert on MM in the USA.

Here is his contact info:
http://med.stanford.edu/profiles/Gary_Steinberg/

He should be abel to help focus what needs to be done now vs what can wait. MM is a progressive disorder and needs to be treated agressively (meaning surgery). I hope this helps. Please keep all of us infromed on how well you are doing.
Becky
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« Last Edit: Jun 12th, 2009 at 12:28pm by Becky »  

What doesn't kill us, makes us stronger. And sometimes leaves a cool looking scar.     STA-MCA bypass and EMS Surgeries done at same time at the Mayo clinic
 
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disneygirl
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Danville, Illinois
Gender: female
Re: Questions about genetic testing.
Reply #5 - Jun 12th, 2009 at 6:45pm
 
Danielle,

If it is not going to change your daughters treatment then the testing may be a mute point at this time.  It is hard for young children to understand why they are having their blood drawn all the time.  Veins do heal in time so that should get better as long as her veins have a chance to heal. 
Did you ask if the genetic testing would require blood samples or if it could be done with a mouth swab?  The mouth swab would be less invasive.  If not then maybe you could wait until she has to have blood drawn for other tests and then have the genetic testing done at the same time.  I would ask the neurologist why he/she felt there was a need for genetic testing at this time. 
Good luck, I know you will make the best decision for your daughter.  Mom's do know best!!!

Tracie
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First stroke in 1974
Diagnosis in March 2009
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Michele
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Yankton, USA, SD, South_Dakota
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Re: Questions about genetic testing.
Reply #6 - Jun 12th, 2009 at 8:57pm
 
What are the other concerns?  SWS isn't genetic is it?  So, I guess I just thought there were some other concerns the doctor had to suggest genetic testing for your daughter, unless they are looking for some unknown link between MM and SWS???  A cheek swab is a very common method of obtaining a genetic sample, if a blood sample is required, I would ask why. 
Michele
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Danielle
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3 year old daughter with
Moyamoya disease

Posts: 71
Michigan
Gender: female
Re: Questions about genetic testing.
Reply #7 - Jun 13th, 2009 at 11:36pm
 
Thank you everyone for the great advice. From what we have been told there are no known links between Sturg Webber and Moyamoya. Adriana's eye doctor was the first person to bring it up. He is an amazing eye doctor. I then brought it up to our neurologist, and from all the MRI's and angios he does not think she has Sturg Webber. So then he suggested the genetic testing just to be sure. So now I feel like I opened a can of worms. I am worried about it even though it will not change her treatment. She has already had surgery done on both sides of her brain. I am leaning toward the testing though. Just to ease my mind. I am going to call on Monday to find out exactly what they will need from her. I do feel like it wouldn't hurt to just go talk with them anyway. Insurance will not cover it but oh well. She is our million dollar baby! Ha Ha. Thanks again Danielle
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Becky
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Stroke10/03, Diagnosed6/04,
Unilateral Surgery9/04

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Minneapolis, USA, usa, 303, 84, MN, Minnesota
Gender: female
Re: Questions about genetic testing.
Reply #8 - Jun 15th, 2009 at 12:21pm
 
Danielle,
For me I did not hear from the genedic testing for almost a year. Also My result was inconclusive (they said it sort-of looks like it maybe kind of could be). Not to burst any hope for the answer you are looking for. I strongly sugest talking with Dr.Stineberg's team before taking action that might cost alot of money or waist alot of time. A phone call is free (almost). I hope you find wat you are looking for.
Becky
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What doesn't kill us, makes us stronger. And sometimes leaves a cool looking scar.     STA-MCA bypass and EMS Surgeries done at same time at the Mayo clinic
 
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Danielle
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3 year old daughter with
Moyamoya disease

Posts: 71
Michigan
Gender: female
Re: Questions about genetic testing.
Reply #9 - Jul 21st, 2009 at 3:19pm
 
Well I took Adriana today for the genetic testing. They ruled out Sturg Webber but now suspect Williams Syndrome. I was able to Email Dr. Stienbergs group to find out if there is any link between Williams and Moyamoya. They do need to draw blood but we are going to wait until they draw blood for another reason down the road. There is no rush to know right now the Dr. said. Just thought I would give you all an update. Any feed back would be great. I wonder if anyone with MM also has Williams Syndrome? Thanks, Danielle
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Audge
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Daughter Emily has MM

Posts: 107
Armada, USA, usa, MI, Michigan
Gender: female
Re: Questions about genetic testing.
Reply #10 - Jul 21st, 2009 at 11:14pm
 
There is a link between Neurofibromatosis and MMD.  My daughter has multiple cafe au lait birthmarks.  They check her eyes yearly for Lisch Nodules.  I just thought I'd throw that out there....don't know if it will help or just add to everything.

How do you get into the genetic testing?
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Danielle
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3 year old daughter with
Moyamoya disease

Posts: 71
Michigan
Gender: female
Re: Questions about genetic testing.
Reply #11 - Jan 22nd, 2010 at 11:49am
 
Another update, We finally have the results from genetics. They tested all her chromosomes and they were all normal. No abnormalities. I was very surprised. The best news is they think we could have more children and not pass MM on. Adri is our first and we don't want her to be an only child.
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