Hannah’s Story

Site created on July 25, 2023

Hello family and friends,


We want to keep you in the loop by sharing Hannah's story and updates on this site.  We so deeply appreciate the support from you, our loved ones as we navigate this scary health journey for Hannah.


Around mid-May we noticed Hannah wanting to hold our hand more while walking.  We didn't think too much of it at first, just thinking she was going through an affectionate phase.  Until this she was a fiercely independent and adventurous toddler, so some hand holding was even welcomed!  But soon we started noticing her walking getting more and more unbalanced, and decided to take her in to see her pediatrician.  We then got a referral for a pediatric neurologist who we met with July 5.  He ordered an MRI of her brain but the soonest they could get her in was July 25.  Shortly after meeting with the neurologist, her walking quickly regressed to the point where she started crawling.  We were able to reserve an urgent time slot for the MRI on July 14.  


While waiting in the lobby to be called back after her MRI, we received a call from the neurologist.  Hannah had a large tumor arising from the right side of her cerebellum.  The tumor was shifting her brainstem to the left and blocking the flow of cerebrospinal fluid within the ventricles, resulting in hydrocephalus.  We needed to take her immediately to the ER at Children's Hospital in Minneapolis for emergency surgery to place a drain.  


Upon arrival, the doctors and nurses determined she was stable enough to wait until the morning for drain placement.  They were astonished after seeing the MRI images that she was smiling and talking - she is our strong girl!  She had the drain placed July 15, and tumor resection July 18.  The surgeon was able to remove the majority of the tumor with two small areas left behind.   We received the biopsy results a few days later - a grade 1 juvenile pilocytic astrocytoma, a benign tumor.  We will do scans for seven years, and she will be considered cured if there is no growth. 


Recovery from surgery has been very difficult for Hannah.  She has developed a condition called posterior fossa syndrome (PFS).  PFS is a grouping of symptoms including decreased verbalization,  loss of balance/coordination, and irritability.  Hannah cannot sit up on her own, can only say a few words in stark contrast to her vocabulary pre surgery, and does not want to eat, requiring her to have  a feeding tube at this time.  She is very upset, probably because she is frustrated and remembers talking and walking and eating normally.  PFS is often reversible but the timeline is unclear and complete resolution of symptoms is not guaranteed.  We have a long road ahead of us including inpatient rehab immediately after our hospital stay.


The plan is to move to inpatient rehab early next week, dependent on results of her MRI July 31.  There has been leakage through her incision, so we need to check the amount of fluid in case we need to place a permanent shunt for drainage of the cerebrospinal fluid.  


We will do our best to provide consistent updates.  We very much appreciate your support and well wishes. 


Megan, Pat, Arthur, and Hannah




Newest Update

Journal entry by Megan Andrea

…still at Children’s. Hannah is doing so much better though. I didn’t realize how sick she looked before. She is looking so much healthier after the new shunt valve. She is more animated and has more color to her and looks less swollen. It seems we have finally figured out how to manage her hydrocephalus. I feel she has finally been able to start really healing from all the surgeries. 

But we are still at Children’s. After the valve was replaced the neurosurgery team chose to keep the EVD in place in case of another shunt malfunction and also to be able to take cerebrospinal fluid (CSF) samples to check for infection. The first few days of samples grew no bacteria. But then one of them did. Hannah had no fevers or clinical signs of infection so we kept taking more samples in case the sample was contaminated. A few more days of no bacteria growth and then another positive sample of a different type of bacteria.

The situation has been confusing so infectious disease has been called in. They are fairly certain both samples were contaminated because it just does not make sense.  But to be safe Hannah went into the OR for the seventh time Friday evening. There the surgeons removed the EVD and tapped her shunt for one final CSF sample and the vascular access team placed a PICC line for intravenous antibiotic administration over the next several days.

If no more bacteria grows from the last couple samples over the next day or two, we should be able to stop the antibiotics and transfer to Gillette to finally start rehab again!  Hannah is so incredibly restless at the hospital.  She doesn’t want to lie in bed anymore so we are going on several stroller rides around the hospital every day. The staff have gotten used to seeing us all over the hospital. She is ready to get out of here (and we are too)!

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