PCOM aneurysm clipping with anterior choroidal artery infarct

•        Findings:

–       Recent right pterional craniotomy surgery.

–       Right para sellar streak artifact from Aneurysm clips at PCOM

–       Low attenuation at the right genu of internal capsule suggestive of an acute infarct, area of involvement corresponds to anterior choroidal artery territory.

•        Pt wakes up with hemiparesis.

•        A one of devastating complication of PCOM aneurysm clipping.