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¹Başkent Üniversitesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Ankara, Türkiye Cavernous carotid aneurysms are generally considered benign lesions, most often asymptomatic and with a low risk of lifethreatening. In the etiology, idiopathic, traumatic, iatrogenic and infectious causes are considered. Management of these aneurysms are debatable and take a decision is difficult for clinicians. In the International Study of Unruptured Intracranial Aneurysms (ISUIA) study, researchers showed that the five year cumulative rupture rate of unruptured cavernous carotid aneurysm was related to size of the aneurysm. These aneurysm present with cranial neuropathy due to mass effect; caroticocavernous fistula as ruptured into the cavernous sinus and associated chemosis, exophthalmos, murmur; may present with life-threatening epistaxis by erosion into the sphenoid sinus. Decision regarding treatment shoul take into consideration the etiology, clinical presentation, size of aneurysm, adequacy of cross circulation and patient preference for the treatment modalities. Anahtar Kelimeler : Cavernous carotid aneurysm, Caroticocavernous fistula, Endovascular therapy