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A 38-Year-Old Man Comes to the Office Due to a New

Question 178

Multiple Choice

A 38-year-old man comes to the office due to a new onset severe headache. The patient does not report any weakness, sensory changes, visual abnormalities, or seizures. The patient has chronic hypertension. He has been smoking two packs of cigarettes for the last 10 years. On examination, the patient has no focal neurological deficits. an MRI shows an aneurysm arising from the segment of the left internal carotid artery within the cavernous sinus. If this aneurysm enlarges, which of the following findings would be expected?


A) Deviation of the tongue to the left when protruded
B) Inability to contract the left orbicularis oculi muscle
C) Loss of sensation from anterior two-thirds of the tongue
D) Vision defect affecting the right half of the visual field
E) Weakness of the left lateral rectus muscle

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