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Review Question - QID 106783

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QID 106783 (Type "106783" in App Search)
A 25-year-old male presents with progressively worsening headaches over the past two months. He also feels that he has been losing his balance more often over the past week, but he denies any motor weakness or sensory impairment. His neurological exam reveals impaired upward gaze, pupils that constrict poorly to light but react to accommodation, and bilateral upper eyelid retraction. On tandem walking, he tends to fall on both sides. The remainder of the physical examination is unremarkable. What is the most likely diagnosis in this patient?