Genjutsu is a non factor here.
In a straight Taijutsu perspective, I would imagine Itachi as having the natural upper hand but Sasuke can take defensive measures such as
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and a streamed blade which would have Itachi on the defensive due to his inability to parry him, which could potentially harm him; I don't recall Itachi having manga intel on either of these abilities so he can very well get caught. However, I do ponder whether Itachi blitzes Sasuke at this distance since he was capable of getting behind Bee, but again, near instant defensive measures like
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to counter should suffice, with Sasuke eventually adjusting to Itachi's speed just as he did with Naruto back at VoTE. Itachi's also very proficient at clone feints but Sasuke does have
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and I can't imagine a scenario with him getting blindsided. Worst comes to worst, he gets hit but escapes with body shedding technique, allowing him to be cautious from there on it. I just feel as if Sasuke has more to his arsenal than Itachi, with wide range and versatile ration techniques which would eventually overwhelm him.