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Kissing carotids

Case contributed by Prashant Gupta
Diagnosis certain

Presentation

Longstanding vertigo without a clear cause.

Patient Data

Age: 62 years
Gender: Female
mri

The MRA shows medial deviation of both ICA in their prevertebral course.

Case Discussion

The ICA normally originates posterolaterally to ECAHowever 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.

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