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

CT scan of patient’s brain shown subarachnoid hemorrhage.

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

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

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

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