Kissing carotid arteries

Case contributed by Fakhry Mahmoud Ebouda
Diagnosis certain

Presentation

Asymptomatic patient.

Patient Data

Age: 45 years
Gender: Male
ct

Both carotid arteries assume a retro-pharyngeal course (kissing carotids).

Case Discussion

The origin of the ICA normally is posterolaterally in relation to the ECA. In 10% of cases, it may originate medially and both carotids approximate each other in the midline giving what is called kissing carotids.The importance of kissing carotids is: may mimic intra-sellar pathology- catastrophic if unreported before retropharyngeal surgery

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