Pediatric neurosurgeon William Loudon , M.D. , a member of the Pediatric Subspecialty Faculty at Children's Hospital of Orange County , was called in for a consultation
As a result of the head injury she
had suffered weeks earlier , Perla had a rather large chronic subdural hematoma.Essentially , this is a collection of blood that was severely pressing down on and deforming her
brain , Dr. Loudon
says.This was causing the headaches , nausea and vomiting..
After a physical exam and MRI scan to confirm the diagnosis , Perla was.admitted into CHOC
that afternoon.Surgery was scheduled for the next day.
In the operating room , Dr. Loudon
drilled two small holes into Perla's.skull to access the area of her
brain where the blood clot was.Then he
used about three liters of saline solution to wash out the collected blood.The procedure took only about two hours.Perla went home two days later.
If Perla had not come in when she
did , her
symptoms would have only.gotten worse.Soon she
would have found it difficult to walk , move her
arms or talk because of the increasing pressure of the blood clot on her
brain , Dr. Loudon
came in before it got that far , she
did not require rehabilitation therapy after surgery..
In fact , Perla has emerged from her
ordeal relatively unscathed.She
has been able to resume normal physical activities without any restrictions.
Although Dr. Loudon
did have to shave a small part of her
head before.surgery , it easily hidden by her
knows it could have been much worse.She
wasn't wearing a helmet , and the type of head injury she
suffered is definitely the kind that should be immediately evaluated in an emergency room.
Any time a child has had a fall bad enough to knock them out in any way or to significantly alter their mental status , bring them in.Nausea , fatigue , lethargy , inconsolable crying , anything along those lines - not just a loss of consciousness - warrants a doctor's exam , Dr. Loudon
says.And always wear a helmet.It is a very simple remedy for the problems you never see coming..CHILDREN'S HOSPITAL OF ORANGE COUNTY
Kids Health «ˆ Perla Hernandez/Sidebar on Razors/Helmet SafetyDRAFT I
knows a lot about helmets and peer pressure because his
.7-year-old daughter recently got a scooter , too.First , she
had to promise to.wear a helmet every time she
made it very clear to her
: no.helmet , no scooterAt that time , no one else on our block was wearing one.My daughter.wanted to know what to say if the other girls teased her
about it.I said ,.'Tell them you wear it because your parents love you , ' he