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While aneurysms of the common carotid artery usually present as mass lesions of the neck, aneurysms of the cervical internal carotid artery may present either in the neck or the pharynx.
In the latter location they may resemble peritonsillar abscess, and many such lesions have been biopsied with tragic consequences.
Cervical carotid aneurysms which are not palpable frequently present with cerebral symptoms.
Anatomic reasons for the varied clinical presentation of these lesions are emphasized.
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