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Fig. 5D. —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. Two-dimensional time-of-flight MR angiogram shows, adjacent to left internal carotid artery, small focal region (straight arrow) of abnormal flow, corresponding to pseudoaneurysm seen in C. Note narrowing of right internal carotid artery (curved arrow) corresponding to dissection in A.

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