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Dokuz Eylül Üniversitesi Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İzmir In this article, a case of giant intra cavernous carotid artery aneurysm that presented as a mass effect is presented. Intracavernous internal carotid artery aneurysm was confirmed by cerebral angiography and magnetic resonance imaging. The aneurysm was successfully clipped with a direct surgical approach. Reports of similar cases in the literature were reviewed. Anahtar Kelimeler : Aneurysm, cavernous sinus, internal carotid artery, surgical treatment