A 70 year old female presented to us with sudden onset severe headache followed by loss of consiousness. CT angio brain revealed large aneurysm at MCA bifurcation left side and small aneurysm at M2-m3 junction distal  to it.Patient underwent leftpterional craniotomy with clipping of aneurysm.

CT ANGIO BRAIN SHOWING LARGE ANEURYSM AT MCA BIFURCATION LEFT SIDE WITH SMALLER ANEURYSM DISTAL TO IT AT M2-M3 JUNCTION. IMAGES 12 34

Images 5 and 6 post op ct
Picture 7 patient just before discharge.
POST OP CT

Large wide necked MCA BIFURCATION ANEURYSM