Kissing carotids simulating prevertebral hematoma

Case contributed by Andrew Dixon
Diagnosis certain

Presentation

Fall. Exclude fracture.

Patient Data

Age: 85
Gender: Female

Cervical Spine CT

ct

The common and internal carotid arteries ascend more medially than is usual and almost meet in the midline (kissing carotids). This causes apparent thickening of the prevertebral soft-tissues which could be misinterpreted by some readers as hematoma 

Case Discussion

Kissing carotids causing apparent thickening of the pre-vertebral soft-tissues which could be easily misinterpreted as prevertebral hematoma. No acute traumatic injury was identified. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.