(Originally posted on Abbysworld)
This is one of my most popular blogposts. i felt the info was important enough to keep sharing...
I’ve thought for days about how to word this post. I want to be very considerate of other families living with Rett Syndrome. While we experience many of the same things, Rett Syndrome is not the same for everyone — and neither is the outcome. So please, take no offense. That is not my intention.
We finally got the answers we needed for our Abby. I feel good about them, and I wanted to share what we learned with you.
Abby suffers daily from what is referred to as Parkinsonian tremors, Rett episodes, and what we once believed were seizures.
In the morning, when she wakes up, her body goes rigid and shakes. She trembles like she’s being electrocuted. Her eyes open, close, and roll around while she looks completely confused. This usually lasts several minutes.
If Abby wakes up at school or on the bus, it’s similar — but with a twist. She looks terrified. Her eyes dart back and forth, and the tremors come in bursts, which have been misinterpreted as cluster seizures. Sometimes, she wakes up shaking and bursts into maniacal laughter.
When she’s startled awake at night — by a cough, a slamming door, or even a noise — her whole body locks up. Her legs go straight. Her arms cross and clamp to her chest. She hyperventilates, shakes, and sometimes cries out.
While in the hospital for observation, Abby had three of these episodes while hooked up to video EEG. Each one was witnessed by at least two nurses, and one was seen in person by the neurologist himself.
Later that morning, the neurologist came in and told me he had good news: Abby wasn’t having seizures. She was having tremors and "Rett-pisodes" — a term I’ve heard before, and honestly, I’ve always felt was just a cop-out for “We don’t have a clue.”
Before I could say any of that out loud, he leaned casually against the wall and asked me to hear him out. We talked for a while, and this is the theory we — mostly he — came up with. What follows is my interpretation of our conversation:
Dr: MECP2 is the gene that makes the protein that helps neurons fire, right?
Me: Yes.
Dr: When our girls are asleep, it’s like they don’t even have Rett. No breath-holding, no hand-wringing, no head-banging or repetitive movements. Right?
Me: Yes.
Dr: Okay, now think of it like this — when the brain wakes up, it’s like a spark plug firing. Or like kick-starting a motorcycle. Everything turns on at once. Are you with me?
Me: (Light bulb going on over my head) Yes.
Dr: Her brain doesn’t work like ours. We wake up slowly — blinking, stretching, yawning. But for them, their brains fire all at once. Neurons are trying to fire, crisscrossing — some hitting, most missing. That’s what causes the tremors. That’s what you’re seeing. The muscles are reacting to that firing pattern.
Me: Yes... but she also shakes when she’s excited, happy, upset, hurt, startled, anxious...
Dr: And do you suppose that your brain might fire differently when you’re excited, happy, upset, hurt, startled, or anxious?
Me: Oh my God.
Dr: All of those emotions make her brain fire differently too — but because her brain and body work differently, it manifests differently. That’s why we also refer to it as a movement disorder. Her brain can’t get her body to do what she wants it to do. That’s what causes the tremors and Rett episodes.
Me: (Looking at Abby, bursting into tears) I get it. I get it.
Dr: We’re not going to say she’s never had a seizure or never will — but she isn’t having them now, not with what we’re seeing here. I hope this gives you some comfort and understanding. Her brain is intact. Her neurons just aren’t firing to the muscles correctly. That’s what this is. That’s what a tremor is. That’s what a Rett episode is.
I felt I needed to share this for those of you who have children with Rett and are dealing with the same thing. I know there are many kids more severely affected than my Abby — but if this helps even one parent feel a little more clarity, it’s worth sharing.
This doctor explained things in a way no one ever has before. And now?
I get it.
I finally get what’s happening to my girl.



