Carotid canal Carotid canal The carotid canal is the passageway in the temporal bone through which the internal carotid artery enters the middle cranial fossa from the neck. The canal starts on the inferior surface of the temporal bone at the external opening of the carotid canal (also referred to as the carotid foramen). The canal ascends at first superiorly, and then, making a bend, runs anteromedially. The canal's internal opening is near the foramen lacerum, above which the internal carotid artery passes on its way anteriorly to the cavernous sinus. The carotid canal allows the internal carotid artery to pass into
Carotid bruit Carotid bruit A carotid bruit is a vascular murmur sound (bruit) heard over the carotid artery area on auscultation during systole. It may occur as the result of carotid artery stenosis (though some disagree); however, most carotid bruits, particularly those found in younger or asymptomatic patients, are not related to any disease and are termed "innocent carotid bruits". A carotid bruit is unlikely to be heard if the stenosis occludes less than 40% of the diameter of the artery. Likewise, a stenosis of greater than 90% may not be heard, as the flow may be too low. Many carotid bruits