Variations in the Course of the Carotid Arteries in Patients with Retropharyngeal Parathyroid Adenomas. AJNR Am J Neuroradiol 2021 Apr;42(4):749-752
Date
02/20/2021Pubmed ID
33602744Pubmed Central ID
PMC8040980DOI
10.3174/ajnr.A6995Scopus ID
2-s2.0-85105265211 (requires institutional sign-in at Scopus site) 1 CitationAbstract
The carotid arteries, classically described as taking a relatively straight course through the neck, deviate medially in a minority of patients. At the extreme, the internal carotid arteries may "kiss" in the midline, coming extremely close to the pharyngeal wall. In this clinical report, we describe 5 patients with primary hyperparathyroidism, all with ectopic retropharyngeal parathyroid adenomas but all with varying carotid artery anatomy. We describe these variations using a previously developed clinical grading system that highlights 1) the relationship between carotid artery location and risk of injury during pharyngeal procedures and 2) the importance of universal, objective criteria to classify carotid anatomy. Radiologists should be familiar with variations in carotid anatomy and communicate them to the operative team.
Author List
Steinl GK, Yeh R, McManus CM, Lee JA, Kuo JHAuthor
Catherine McManus MD, MS Associate Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedAged, 80 and over
Carotid Artery, Common
Carotid Artery, Internal
Female
Humans
Middle Aged
Neck
Parathyroid Neoplasms
Pharynx
