Intratemporal carotid artery aneurysms are rare lesions, with only 54 cases reported in the literature. Their most common symptoms are pulsatile tinnitus, hearing loss and signs of Eustachian tube obstruction. In case of aneurysm rupture, bleeding may be so profuse as to require emergency legation of the common carotid in the neck. Arteriography is the diagnostic gold standard for this disorder. Successful treatment usually involves selective aneurysm embolization or carotid closure with detachable balloons. The authors report a new case of intratemporal carotid artery aneurysm previously treated with selective embolization. To avoid the risk of aneurysm recanalization and/or infection through the external auditory canal, middle ear obliteration and blind-sac closure of the external canal were performed in this case.