Presentation
Longstanding vertigo without a clear cause.
Patient Data
Age: 62 years
Gender: Female
From the case:
Kissing carotids
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The MRA shows medial deviation of both ICA in their prevertebral course.
Case Discussion
The ICA normally originates posterolaterally to ECA. However in 10% of patients, it originates medially, and deviates medially so that the caroitds approach each other in the midline. This is called kissing carotids.