RT Journal Article SR Electronic T1 Variations in the Course of the Carotid Arteries in Patients with Retropharyngeal Parathyroid Adenomas JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology DO 10.3174/ajnr.A6995 A1 G.K. Steinl A1 R. Yeh A1 C.M. McManus A1 J.A. Lee A1 J.H. Kuo YR 2021 UL http://www.ajnr.org/content/early/2021/02/18/ajnr.A6995.abstract AB SUMMARY: 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.PHPTprimary hyperparathyroidismMIBItechnetium Tc99m sestamibiPTHparathyroid hormone