A rare case of calcified giant aneurysm of the middle cerebral artery is presented. This is a 28-year-old female with seizures and right-sided hemiparesis in whom plain scull films and computed tomography revealed a large calcified lesion (measuring 7.5 x 5.5 x 4.5 cm) of the left cerebral hemisphere. The lesion was removed by the pterional transsylvian approach and found to be a calcified giant thrombotic aneurysm of the middle cerebral artery. The CT characteristics of these rare lesions and the success of surgery in this case are briefly discussed.
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