An aneurysmal bone cyst-like reaction involving the left common caroti
d artery bifurcation in an otherwise healthy 7-year-old boy is describ
ed. The patient presented with a 6-week history of an enlarging pulsat
ile neck mass, The mass was excised with connection of arteries on eit
her side with a saphenous vein graft. There were no associated intracr
anial arterial aneurysms or associated skeletal lesions. A history of
trauma could not be elicited. To the best of our knowledge this is the
first report of an aneurysmal cyst, bone type, involving a large bloo
d vessel.