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¹Antalya Eğitim Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Antalya, Türkiye
²Ankara Numune Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Ankara, Türkiye Giant aneurysms are aneurysms whose largest diameter is more than 25 mm. Giant aneurysms form up to 5-7% of all aneurysms. They are usually seen in the anterior circulation. They usually have a large neck and frequently became thrombosed. They commonly lead to subarachnoid hemorrhage or intracranial mass eff ect. They rarely lead to ischemia. The mortality and morbidity are high. There may be diff iculties in diagnosis. Giant aneurysms should be considered in the diff erential diagnosis of cases with intracranial mass eff ect or ischemia. The ideal therapy is to remove the aneurysms by surgery. In this article, we present the case of a 55-year-old male with a middle cerebral artery giant aneurysm that led to ischemic stroke and caused recent onset headache, followed by loss of consciousness and right hemiplegia. Anahtar Kelimeler : Surgery, Giant aneurysm, Ischemia