Craniovertebral junction anomaly with kissing carotids

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 a...

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Detalles Bibliográficos
Autores principales: Kumar, Nitin, Gosal, Jaskaran Singh, Tiwari, Sarbesh, Garg, Mayank, Bhaskar, Suryanarayanan, Jha, Deepak Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2020
Materias:
Image Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7771403/
https://www.ncbi.nlm.nih.gov/pubmed/33408911
http://dx.doi.org/10.25259/SNI_710_2020
Descripción
Sumario: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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