Kissing carotids

Case contributed by Dr Paresh K Desai

Presentation

MRI done in a 76 year old male patient 3 days after head injury.

MRI

Kissing carotids

Case Discussion

Incidental finding of anomalous cavernous segment of internal carotid arteries, in which they lie in the midline; in contact with each other or separated by a few millimeters. This is an unusual form of kissing carotids which are usually in the retropharynx. 

This finding may mimic pituitary disease (clinically/ imaging) or complicate trans-sphenoidal surgeries.

Patient also had an incidental basilar invagination

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Case information

rID: 10635
Case created: 28th Aug 2010
Last edited: 19th Dec 2015
Inclusion in quiz mode: Included

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