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Vital Signs: A Deadly Cry

Explore neurodegenerative diseases in children and the rare case of Daryn, who battled symptoms of a misunderstood genetic disorder.

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Even before I laid eyes on Daryn Jordan, I knew something was very wrong. That was five years ago, when Al Reynolds, a pediatric neurologist, called me after admitting the seven-month-old to our hospital.

The kid was doing fine until a month ago, Al had said. His parents say he smiled, rolled over, sat up, and babbled. But now he’s lost all those skills. When I first saw him, he was listless, cranky, and as floppy as a dishrag. Even when he is propped up, he can’t sit, and the only sound he makes is this high-pitched cry.

He’s degenerating, I said.

Seems like it, Al replied. We’re doing an EEG, an MRI, a spinal tap, and lots of blood work. I’d also like you to evaluate him to see if his problems are genetic.

I promised to see the boy immediately and headed over to the infants’ unit. I ...

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