• 69-year-old lady who presented with severe headache, somnolence, and global aphasia (inability to speak or understand language).
  
  

CT scan of the patient’s brain show a subarachnoid hemorrhage.

Cerebral angiography shows a left middle cerebral artery (MCA) aneurysm.

• She underwent left pterional craniotomy with micro-clipping of this aneurysm utilizing intraoperative neurophysiological monitoring.

Post-op cerebral angiography shows complete treatment of this aneurysm.

• She was discharged from the hospital with no complications. Her speech returned to normal. Aside from some memory loss, she returned to normal function and remains free of any aneurysm.