A 50-Year-Old Man Is Brought to the Emergency Department Due

A 50-year-old man is brought to the emergency department due to a severe, sudden-onset headache that started an hour ago.  The patient reports that he has had mild headaches and decreased libido over the past 3 months.  He has no other medical conditions and takes no medications.  Physical examination reveals bilateral deficits involving the temporal visual fields and impaired extraocular eye movements.  Shortly after being admitted to the hospital, he becomes acutely hypotensive and loses consciousness.  The patient dies despite aggressive resuscitation efforts.  Which of the following is most likely to be found on autopsy?

A) Acute hemorrhage in the pituitary gland
B) Bleeding within the putamen
C) Dissection of the internal carotid artery
D) Inflamed temporal arteries
E) Ischemic necrosis of the pituitary gland
F) Ruptured intracranial aneurysm
G) Thrombus in the venous sinuses

Correct Answer:

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