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Simultaneous bilateral aneurysms of the extra-cranial internal carotid artery (E-ICA) in a patient are one of the rarest lesions. Here, we report the case report of a 19‑year‑old male with bilateral E-ICA aneurysms. His left-sided, expanding aneurysm of E-ICA at skull base was successfully treated with surgical resection and interposition prosthetic graft placement. Successful surgical repair in this challenging field is safe and can be undertaken with an acceptable perioperative complication rate with excellent results.

Bilateral Extra-Cranial Internal Carotid Artery Aneurysms in a Young Adult: A Rare Entity