A rare case of Tinnitus - Aberrant Internal Carotid Artery(ICA) of Middle ear

Aberrant ICA is a rare abnormal condition that can be associated with life threatening ear bleed. It was first reported by Max in 1899 and the incidence is very rare. It occurs usually due to erosion of medial wall of middle ear, congenital anomalies or dilatation of ICA in the petrous part of temporal bone due to an aneurysm. Misdiagnosis of patients with aberrant ICA leads to unnecessary explorative surgical procedures and or localized treatment which carries risk of massive haemorrhage or even hemiplegia and death.