A 66-Year-Old Woman Is Brought to the Emergency Department Due

A 66-year-old woman is brought to the emergency department due to sudden loss of consciousness. The family reports that the patient had a severe headache before he lost consciousness. He did not have any recent head trauma or significant falls. The patient has a previous medical history of chronic hypertension and diabetes mellitus. On examination, the patient is conscious, oriented, and alert. He has a normal neurological examination. He is continuously complaining of a headache. Initial radiological imaging shows a right-sided temporal hemorrhage. Over the next 24 hours, the patient's state deteriorated and he had a tonic-clonic seizure. Blood pressure is 185/92 mm Hg, the pulse is 36/min, and respirations are 9/min. The monitor showed recurrent episodes of brief apnea. The patient was sent for radiological examination again, which showed expansion of the acute hemorrhage. It indicated a new brain herniation. Which of the following findings would be observed in this patient?

A) Dilated pupil
B) Horner syndrome
C) Hyperreflexia
D) Nystagmus
E) Upward gaze palsy