Cerebro Costo Mandibular Syndrome (CCMS)

This is what Piper Jane’s condition is called. I decided to write about it even though many of you already know a lot about it. I chose to make the name of it the title of this post because I’m hoping it will come up if googled, creating a way to get in touch with other families who are experiencing it. It is an extremely rare syndrome, making it a sort of isolating experience. I would just die at the opportunity to meet a family going through what Jake, myself and especially Piper have gone through. With less than 50 recorded cases and most of them not surviving birth, it’s trick-freakin-y. I google it every once in a while hoping to find out more information, or recent discoveries. Who knows, maybe some other hot, young mother is doing the same!!

I’m going to write some important details in Piper’s history, just to fill everyone in…

When I was 17 weeks pregnant, I had an ultrasound resulting in two important finds: a sack of fluid on the back of pip’s neck and a very small, underdeveloped chin. Both big, red flags that there were probably many more problems not able to be seen while in utero. The rest of my pregnancy was blood tests, an amnio, millions of ultrasounds, fetal echos, MRIs and such to try to figure out how to save this special baby and treat her properly. She was of course born 8 weeks early through emergency c-section.

They diagnosed her shortly after she was born with CCMS. The two most common factors in CCMS is the Micrognathia (underdeveloped chin) and the rib/ chest abnormalities. Piper is missing half of her rib cage, which is the suspected reason she has so many breathing issues. She has six on one side and seven on the other. Since the structure of her chest is so abnormal, her rib cage is also too small, so her lungs are prevented from expanding all the way, resulting in quick/short breaths….resulting in burning pretty much all of her calories on breathing so hard, resulting in the teensiness. Along with many of her ribs, one of her scapula and clavicles is still cartilege, so positioning and therapy is vital for her comfort. Her scoliosis and kyphosis (curved and “humped” spine) is taking a negative turn, so I expect we’ll be working on that soon.

I have spoken with a surgeon in Philadelphia specializing in rib surgery and while he thinks Piper is a great candidate for rib expansion, he doesn’t know that she would survive such a major prcedure at this time. He thinks we should wait. I concur!!!!!

Piper has pulmonary hypertension which used to be a really serious thing, but thanks to her incredible doctors, they have found the perfect cocktail of medications to keep it under control and stop scaring the pee out of us. She has mostly been cured of cross-eyedness and has full hearing in only her left ear. Her right nostril isn’t an open airway and the right side of her heart works harder than the left. Making a thick muscle around it. I think that’s it!!

This is a small post compared to the procedures and episodes she has endured. Really, microscopic in comparison. Writing and reading about her makes me love her, apreciate her, adore her and completely stand in amazement at her fighting power! Piper, why do you want to be here? Why are you so awesome? Why do you hate getting your nose wiped? Why did you choose to be a Breinholt? I know I’m going to be answered all of my millions of questions some day. I know a lot more than I did before Piper. How does a baby do that?

I feel it is very necessary for me to be open about Piper, mostly because her condition is so rare and she is such an inspiration. I do try to be respectful to her in the way that I write and hope that I’m doing a good job of it. I love her to the depth of my soul and the tips of my toes. I’m proud of her every day for her progress, strong will and just for being her unique little self.

Sorry I brag so much! Don’t be jeal!



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13 Responses to “Cerebro Costo Mandibular Syndrome (CCMS)”


  • Comment from Reggs

    I’m totally JEAL! Thanks for this post, and I do hope that anyone who is living with CCMS finds great comfort in you and your experiences. I just love your little pip squeak and I am sending her a hug from far, far away.

  • Comment from Janet

    I’m glad you posted about her and I personally think it’s very respectful. I think she appreciates you letting everyone know about her condition. I hope someone out there going through the same thing is able to find you guys. I think you’re absolutely amazing and I’m in awe of how gracefully you manage your trials.

  • Comment from Christina

    I love reading about Piper and am inspired by her as well, so thank you so much for sharing her. I am also inspired by YOU and your awesomeness as a mother.

  • Comment from Melanie

    I am in awe of you you and Jake, but mostly of Piper. Very inspiring and amazing family

  • Comment from Kaedi

    You should be a doctor. Or nurse. Or some sort of medical professional. Seriously! The way you throw down that jargon just makes me smile. Piper is amazing, and (sorry for the mush) she just exudes this ginormous amount of strength of spirit. What an incredible honor it is to even have the chance to catch a glimpse of her, and the lives she touches. Piper for president. I loved this post. Keep ‘em coming! Hey, what is she gonna be for Halloween? Okay, the marathon comment is now complete. ;)

  • Comment from andrea

    man, i heart you guys. you’re such a good mom! and such a smarty pants, too. i agree with kaedi. you rock my world with your smartness. i also really love your reaching out and creating awareness on Pip’s behalf.

  • Comment from Addisyn's World

    I found your blog on someone else blog and feel in love with Piper. She is so amazing and had wondered what her condition was called. She is so beautiful and you all seem like such wonderful parents. She is blessed to have you all.

  • Comment from Kate McNeil

    you are awesome. pip is awesome. i really appreciate you telling us all the details, because sometimes i’m too shy/nervous to ask. does that make sense?

    p.s. i got you some things in japan!!

  • Comment from Anonymous

    hello there, my name is merav i am from israel my son was born with ccms syndrom he is 7 years old now
    I always cheack google to see if there is somthing new about ccms syndrom and i find you and your child is amazing she is so remind me my son liel.
    pleas contact to my e mail i be happy to tell you anything you want about my son condition
    my email meravovadya@walla.com

    thank you
    merav,Israel

  • Comment from Darlyssia

    hi my name is darcy and i have a 7 month old that was just diagnoised with the same problem although his problems arent as intense as ur daughters i can diffently sympathize with you. thank you so much for postong this because i thought my son was the only one with this syndrome!!

  • Comment from LynneJ

    We have a daughter Claire who has CCMS. She has had a trachy tube since she was 3 days old to cope with the micrognathia, and is fed by gastrostomy tube. She has undergone numerous operations and we have had to overcome various battles, however she recently started at a special needs college, complete with all the equipment required! We are immensley proud of her and wish Piper and you well on your journey.

  • Comment from Jared

    Hi Reagan. I really enjoy looking at your blog. I am Cameron Romney's older sister.My name is Janelle Mack. I think Piper is the prettiest girl. I wish I could meet her. She is a fighter. You can tell she is loved very much. I also can tell you enjoy her and every moment you spend with her.It's all those moments that mean the most. I loved watching her clap. What a blessing. I have a son named Tyson. He was born with Schizencephaly. I love him very much and always will. I just lost him on Halloween. I miss him dearly, but enjoyed my five years I had with him. Tyson was in and out of the hospital a lot and we are grateful he was a fighter and wanted to be here as long as he could. You can check out out blog if you want. http://www.jwmack.blogspot,com/ I hope you are enjoying the holidays. Love, Janelle Mack

  • Comment from Regan

    Hi Reagan, that's my name too except it's spelled without the A. I linked to your blog from my cousin April and I have fallen in love with your writing about your family and your daughter. I have a little boy who will be 3 this summer and while he is healthy, I can definitely understand your plight as a mother. As I was reading your profile, I copied and pasted CCMS into Wikipedia and it didn't come up so I did it with Google and this blog entry was the 2nd link to appear. It looks like you are a wonderful mother, you have a wonderful daughter and husband and I wish the best to all of you.