Dissection of the carotid and the vertebral artery practice

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Any stageFoundations71Mechanisms of disease35Clinical rotations832Pre-internship488

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AMCcommon

A 38-year-old man develops left-sided neck pain and a new unilateral headache after forceful neck stretching. He has a mild left ptosis and a smaller left pupil, but limb power and speech are normal. He has no lacrimation, nasal congestion or nausea. Which one of the following is the most likely diagnosis?