A 27-year old white female presented at the walking clinic

A 56-year-old man presents with a seizure. He was in his normal state of health this morning when he developed an episode of motionless staring and automatic movements of the hands and the mouth witnessed by his spouse who then brought him to the hospital. He has had an upper respiratory viral infection for the past week. He has a medical history notable for human immunodeficiency virus (HIV), hyperlipidemia, hypertension, and diabetes. His medications include gemcitabine/tenofovir, atorvastatin, amlodipine, lisinopril, and metformin. He does not smoke or drink alcohol. He denies illicit drug use. On physical examination, temperature is 98.9°F, blood pressure 138/83, pulse 73, respiratory rate 17. He is in moderate distress. Lung are clear to auscultation. A 2/6 systolic murmur is best appreciated at the right upper sternal border. Abdomen is soft and nontender. No lower extremity edema is appreciated. Magnetic resonance imaging of the brain with and without contrast reveals edema in the right mesial-temporal lobe. Of the following symptoms, which is most likely to be associated with this patient’s condition? Hyperacusis Olfactory hallucinations Parkinsonism Psychomotor agitation

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