Health Watch: Brandon's Nerve Transfer Surgery for AFM is a First!

Margot Kim Image
Tuesday, July 2, 2019
Brandon's Nerve Transfer Surgery for AFM is a First!
The disease, called acute flaccid myelitis, is rare but it usually pops up in young, healthy children.

ST. LOUIS, Mo. (KFSN) -- If you're a parent, you may already know about the disturbing uptick in an illness that causes paralysis and weakness in young kids. The disease, called acute flaccid myelitis, is rare but it usually pops up in young, healthy children. There is no cure for the illness, but doctors continue to find new ways to give kids back some of what they've lost.

Nine-year-old Brandon Noblitt is an expert on patience.

It's a skill he had to learn young. Three years ago, his life took an unexpected turn.

"I tried to get out of bed and I just collapsed," Brandon said.

Brandon's dad Brian Noblitt said, "He was perfectly healthy before. Never really had anything, any serious diagnosis or any serious health problems. He was ... normal."

An MRI revealed he had acute flaccid myelitis: a polio-like illness that causes sudden paralysis. It's rare, but often pops up after an infection like the common cold.

Brandon shared, "I was thinking wow ... what if ... what if I never get better?"

Brandon had to adjust to life in a wheelchair. Nerve surgeon Amy Moore from Washington University of St. Louis was determined to get him out of it.

"The humanism of it ... it hurts, because these are normal kids," said Dr. Moore.

In a surgical first for AFM, Moore transfers less important nerves from one part of the body to help the paralyzed leg.

She explained, "We can cut it and remove it and re-suture it under a microscope and at a millimeter a day, inch a month, foot and a half a year, we get muscle function."

It was a long wait but eventually, Brandon's patience paid off. His leg muscles started to quiver.

Brian said, "It was a sense of celebration. A sense of that 'wow' this is really starting to happen."

"I'm not making them normal but giving them, waking up muscles to make them stronger so they can stand and so that they can walk," Dr. Moore said.

Moore says it can take four years to get the full effect.

Brandon doesn't mind waiting. He's just glad to be out of his wheelchair.

"I feel like I'm still getting better. I feel great. I can keep up with my friends and everything," Brandon told Ivanhoe.

Dr. Moore has treated 13 children with ten more scheduled over the next two months. Three of those children are now out of a wheelchair and walking like Brandon. Others are regaining mobility and the hope is, they will continue to improve with time. Since 2014, there has been an uptick in AFM cases every other year.