A 35-year-old overweight woman with a history of tension headaches is brought to the ED complaining of a headache more severe than usual. The pain is diffuse and has increased in severity over the past couple of weeks. Her only medications include NSAIDs and oral contraceptives. On exam you find chemosis and CN VI palsy on the left and an upward plantar reflex on the right. Which of the following will be an UNLIKELY finding in this patient?

About the Author: Anton Helman

Dr. Anton Helman is an Emergency Physician at North York General in Toronto. He is an Assistant Professor at the University of Toronto, Division of Emergency Medicine and the Education Innovation Lead at the Schwartz-Reisman Emergency Medicine Instititute. He is the founder, editor-in-chief and host of Emergency Medicine Cases.