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Question category: Neurology

A 35 year old female presents with a severe throbbing headache. She has a past medical history of migraine. She is confused. On examination there is evidence of a 4/5 power on left side and she is hyperreflexic on the left. She has recently been unwell with sinusitis. A CT is performed and shows no space occupying lesion. Which of the following is the most likely diagnosis?

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