The Presence of an Arteria Lusoria Should Be Checked When Reporting (18)F-FCH PET/CT Performed to Localize Hyperfunctioning Parathyroid Glands

Nonrecurrent inferior laryngeal nerve (NRILN) is a rare anatomical variant, which significantly increases the risk of nerve injury during neck surgery, for example, thyroidectomy or parathyroidectomy (PTX). The absence of the brachiocephalic trunk and presence of arteria lusoria (AL) are strong pred...

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Detalles Bibliográficos
Autores principales: Talbot, Jean-Noël, Périé, Sophie, Tassart, Marc, Safa, Jean-Baptiste, Montravers, Françoise, Balogova, Sona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10581409/
https://www.ncbi.nlm.nih.gov/pubmed/37756414
http://dx.doi.org/10.1097/RLU.0000000000004814
Descripción
Sumario:Nonrecurrent inferior laryngeal nerve (NRILN) is a rare anatomical variant, which significantly increases the risk of nerve injury during neck surgery, for example, thyroidectomy or parathyroidectomy (PTX). The absence of the brachiocephalic trunk and presence of arteria lusoria (AL) are strong predictors of NRILN in the right neck. FCH PET/CT is now a recognized imaging modality in hyperparathyroidism (HPT). We report 2 patients with primary or renal HPT in whom FCH PET detected right HFPTs and low-dose noncontrast CT evidenced AL. The NRILN was thus preserved during PTX. We recommend searching for AL on FCH PET/CT (even low-dose) in HPT before PTX.

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