A camshaft adjusting device for an internal combustion engine, comprising a housing comprising a bearing sleeve arranged to be concentrically disposed on a camshaft, the bearing sleeve arranged to be guided through a cylinder head wall, an annular gap arranged to be inside the cylinder head, the annular gap arranged to be formed between the bearing sleeve and the camshaft, an adjusting mechanism comprising a control shaft arranged within the housing, a traction mechanism comprising a drive gear secured to the bearing sleeve outside the cylinder head, and a ball bearing arranged within the drive gear and securing the control shaft within the adjusting mechanism.