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A 67-year-old man presents with a history of progressive dysphagia and hoarseness over the preceding 24 h. On examination there is a right Horner syndrome and the right side of the palate does not elevate on phonation. The right gag reflex is absent and the patient cannot produce an explosive cough. These signs and symptoms are most likely due to which of the following?
(A) A left capsular haemorrhage
(B) A meningioma at the foramen magnum
(C) Thrombosis of the left posterior inferior cerebellar artery
(D) A left cerebello-pontine angle tumour
(E) A right-sided brain stem infarction
A 67-year-old man presents with a history of progressive dysphagia and hoarseness over the preceding 24 h. On examination there is a right Horner syndrome and the right side of the palate does not elevate on phonation. The right gag reflex is absent and the patient cannot produce an explosive cough. These signs and symptoms are most likely due to which of the following?
(A) A left capsular haemorrhage
(B) A meningioma at the foramen magnum
(C) Thrombosis of the left posterior inferior cerebellar artery
(D) A left cerebello-pontine angle tumour
(E) A right-sided brain stem infarction
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