Kissing carotids

Zafar, Mansoor; Kiani, Amarah; Galiatsatos, Nick; Rahmani, Muhammad Jh

doi:10.12968/hmed.2020.0002

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2020

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“…Kissing carotids have been described in the retropharyngeal space at lower cervical levels (C4-C6). [ 1 - 3 ] In this case, we identified kissing cervical carotids at the C1-C2 levels accompanied by BI. Notably, had an anterior approach been pursued without the preoperative CTA, there could have been a fatal intraoperative hemorrhage.…”

Section: Discussionmentioning

confidence: 73%

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Craniovertebral junction anomaly with kissing carotids

Kumar

Gosal

Tiwari

et al. 2020

Surgical Neurology International

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Background: “Kissing carotids” typically involves the lower C4-C6 retropharyngeal space. Here, we describe a case of “kissing carotids” observed at the C1-C2 level in conjunction with basilar invagination (BI). Case Description: A 34-year-old-male presented with congenital atlantoaxial dislocation and BI. The initial surgical plan was for a transoral decompression (TOD). However, this approach was abandoned when the preoperative computed tomography angiography (CTA) documented “kissing carotids” lying anteriorly at the C1-C2 level. Conclusion: Obtaining a CTA before performing a TOD for BI is essential to prevent an intraoperative catastrophic hemorrhage due to the laceration of “kissing carotids.”

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Section: Discussionmentioning

confidence: 73%

“…Kissing carotids has been described involving the retropharyngeal space, typically at lower cervical levels, C4-C6. [ 1 - 3 ] Here, we identified kissing cervical carotids at the C1-C2 level in a patient with accompanying BI.…”

Section: Introductionmentioning

confidence: 90%