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Fig. 5A. —Bilateral internal carotid artery dissections in 44-year-old man who developed right-sided neck pain and right Horner's syndrome a few days after downhill skiing. He had no history of direct trauma. Catheter angiogram of right common carotid artery, lateral view, shows long segment of luminal narrowing in high cervical segment (arrows), consistent with dissection, and extending up to level of skull base.