Rowan’s Story
Rowan was diagnosed with Infantile Neuroaxonal Dystrophy on November 13, 2022; the news came the same day she turned 19 months old.
Our research leads us to believe that the majority of Rowan’s skills will be gone within 40 months of symptom onset, but we are in disagreement regarding when that occurred. It could be as early as two months or as late as 10 months of age. Regardless, Rowan’s motor deficits and impending loss of cognitive function make it clear that we are already in the midst of a battle against time. Whenever Rowan catches a cold, we experience a preview of what’s to come: widespread skill regression, dementia, and total reliance on others.
Rowan currently suffers from multiple vision disorders including oculomotor ataxia and strabismus, two sleep disorders, and a swallowing disorder. She has never crawled on hands-and-knees, pulled to stand independently, or walked without assistance. She loves to move, but her gross motor movements are typically unproductive. Rowan lost the ability to push to sit shortly after “motor-mapping” it constantly for a month; as with many abilities that seem to fade away as soon as she gains them, we are fighting to help her find that skill again.
Rowan regularly works closely with three physical therapists, a feeding and speech specialist, a speech therapist who specializes in assistive technology, and an occupational therapist.
Progression of Infantile Neuroaxonal Dystrophy (INAD)
The bolded information below is copied from the National Institutes of Health:
“INAD causes loss of vision, muscular control, and mental skills. These symptoms get worse as time passes. . .
For their first few years, a baby with INAD will be alert and responsive, but will become more physically impaired as time passes. Generally, a baby's development starts to slow down between the ages of six months to three years. Symptoms usually start in the first two years of life. Rapid, wobbly eye movements and squints may be the first symptoms. Any of the following can happen next:
Floppiness in the head, body, and legs (more than in the arms)
Loss of the ability to sit, crawl, or walk
Decreased ability to see and speak
Seizures
Eventually, because of the loss of vision, speech, and mental skills, the child will lose touch with his or her surroundings.”
A friend of ours explained it this way:
Since INAD affects all brain cells, the symptoms are wide-ranging and all brain development is affected. This presents as problems with cognition, vision, and hearing. All muscle movement also originates in the brain, so there are also problems with motor functions. Perhaps because this is a problem with nerve cell maintenance, and not creation, that is why it takes some time for the disease to become apparent.
Nick & Alyson
Rowan’s parents met in 2016. After two cancelled weddings due to Covid-19, Nick and Alyson eloped and were married on the Las Vegas Strip in December 2020. They welcomed Rowan into the world in 2022.
Nick is a full-time firefighter and former firefighting academy instructor in Virginia. He also frequently travels to Maryland to serve as a volunteer firefighter.
Alyson, a former high school English teacher in Virginia, currently stays home to make sure Rowan makes it to her daily therapy appointments.