CONGENITAL INTERNAL CAROTID-ARTERY ANEURYSM

Congenital carotid aneurysms are frequently found in the intracranial arteries but rarely seen in extracranial part of the internal carotid artery. A case of a congenital internal carotid artery aneurysm at the skull base was treated in a 13-year-old female child. This case is be ing presented for its rarity and also to highlight the ease of exposin g the upper end of the aneurysm via lateral skull base approach. Infra temporal fossa approach was adopted in this case. The carotid canal wa s drilled off and the upper end of the aneurysm in the intrapetrous pa rt was mobilized and vascular clip applied before dissection of the an eurysm. Relevant literatures pertaining to this case are also reviewed .