Giant cerebral aneurysms are ones that measure >25 mm in greatest dimension. Appearances will depend on whether the aneurysm is non-thrombosed, or partially or completely thrombosed. Giant intracranial aneurysms have always been, and remain, among the most difficult cerebrovascular lesions to treat. This patient presented with seizures and showed giant MCA aneurysm on imaging. Case submitted by Dr MGK Murthy.
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