• 61-year-old woman presented with severe headache followed by sudden loss of consciousness.
  
  

CT scan of the patient’s brain shows a severe subarachnoid hemorrhage and hydrocephalus (yellow arrows show enlarged ventricles).

CTA (Computed Tomographic Angiography) of the patient's brain showed a complex anterior communicating aneurysm.

MRA (Magnetic Resonance Angiography), and four-vessel Cerebral angiography confirmed a complex multi-lobulated anterior communicating aneurysm which was not amenable to interventional approach due to its complex morphology.

• Patient underwent supraorbitalcraniotomy and clipping of the aneurysm.
  
  

Post-op Imaging

Before Operation                                          After Operation

Post-op angiogram showed complete treatment of the aneurysm.

• This patient was discharged to home shortly after the operation with no complication and in good health.