Partial oculosympathetic palsy followed by ischemic manifestations in brain or retina are the main symptoms of extracranial internal carotid artery (ICA) dissection.Unusually, cranial nerves may be affected.Isolated oculomotor nerve palsy is found only rarely.CASE: We present a 50-year-old nondiabetic AVOCADO LIME RANCH CHIPS man who experienced ac