A 58-year-old woman is brought to the emergency department 30 minutes after developing acute confusion, severe headache, and vomiting. A CT scan of her head shows a large intraparenchymal hemorrhage. Despite appropriate treatment, the patient dies. Autopsy shows multiple small aneurysms of the lenticulostriate arteries of the brain and bilateral hyperplasia of the adrenal glands, limited to the zona glomerulosa. The patient's adrenal condition was most likely associated with which of the following symptoms?

A.

B.

C.

D.