A 30-year-old woman comes to the physician for a 1-week history of worsening urinary incontinence characterized by needing to run to the bathroom 8-12 times daily. She had an episode similar to this 3 years ago in which she was treated successfully with oxybutynin. Physical examination shows a Babinski sign on the left and clonus of the right hand. Which of the following is most likely to be seen as part of this patient’s acute presentation?
Downward mobility of a vesicourethral junction
Fasciculations of the right thenar eminence
Inability to abduct the right eye when looking to the right
Normal convergence of the eyes
Postvoid volume of 400 mL
