Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The _external carotid_ and the cervical portion of the _internal
carotid_ are seldom the primary seat of aneurysm, although they are
liable to be implicated by the upward spread of an aneurysm at the
bifurcation of the common trunk. In addition to the ordinary signs of
aneurysm, the clinical manifestations are chiefly referable to pressure
on the pharynx and larynx, and on the hypoglossal nerve. Aneurysm of the
internal carotid is of special importance on account of the way in which
it bulges into the pharynx in the region of the tonsil, in some cases
closely simulating a tonsillar abscess. Cases are on record in which
such an aneurysm has been mistaken for an abscess and incised, with
disastrous results.

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