[An aberrant course of the internal carotid artery]

Aberrant vascular courses of the A. carotis interna are extremely rare. They are usually combined with pulsatile symptoms. Missing symptoms are not proof of a non-existing aberration, though. A paracentesis in such a situation leads to an initially unstoppable bleeding from the tympanion and tuba. For this reason it is necessary to contemplate a vascular reason for the local findings preoperatively.