A 45 year old lady presented to our emergency  with complaints of headache  followed by loss of consciousness  . CT head revealed SAH with large  haematoma  in temoropaietal region. CT Angiography  revealed large bilobbed aneurysm  at MCA bifucation  on right side. Patient  was operated via right Forto-temporoparital craniotomy with clipping of aneurysm  and removal of haematoma. Pt was discharged  without any deficit

Fig. 1 . CT HEAD SHOWING SAH WITH HAEMATOMA

FIG. 2,3. ANGIOGRAM SHOWING LARGE BILOBBED  MCA BIFURCATION ANEURYSM .

FIG 4 POST OP CT OF THE PT.

PIC 5 PT AT FOLLOW UP.

Large bilobbed MCA bifurcation aneurysm                                                   Large bilobbed MCA bifurcation aneurysm

Large bilobbed MCA bifurcation aneurysm

                 Large bilobbed MCA bifurcation aneurysm                    Large bilobbed MCA bifurcation aneurysm