Case presentation A four-year-old male with autism spectrum disorder presented to the emergency department with a complaint of gradually worsening lower extremity weakness for the last four hours. The patient fell from a three-foot-tall bed and hit his forehead on the ground four days ago. He was examined twice at different hospitals and discharged without performing any imaging tests.
The patient had a few episodes of nonbilious and non-bloody vomiting, persistent headache, subjective fever, and decreased activity. Vital signs Temperature – 99.7°F Heart rate – 81 beats/minute Respiratory rate – 20 breaths/minute Blood pressure – 130/71 mmHg Oxygen saturation – 100% Physical examination Swelling in mid-forehead No signs of basilar skull fracture Weak left lower extremity Neurological examination Sluggish extraocular movements Somnolence Slow speech Dysmetria Inability to walk…
