A 50 year old female presented to us with sudden onset severe headache followed by loss of consiousness. CT head revealed haematoma in left cerebello-pontine angle. CT angio brain revealed large aneurysm at junction of left vertebral artery – pica jn. Aneurysm was operated successfully via far lateral approach at ivy mohali with good outcome .
1 CT angio brain showing aneurysm at left vertebral artery -pica jn.
2. Post operative CT head showing aneurysm clip in left cp angle.

Rare vertebral artery