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Primary carnitine deficiency presenting as intractable seizures.

Most intrasellar ICA aneurysms may be treated with surgical or endovascular procedures. In the four patients reported in literature, one patient successfully underwent endovascular management,[3] while in one other patient, an attempt to clip the aneurysm was unsuccessful.[2] Our patient presented with irregular menses with compression of pituitary stalk by the aneurysm and surgical resection of the large aneurysm relieved the mass effect bringing about improvement in the patient’s condition. There was no difficulty encountered while dissecting the neck and dome of the aneurysm from bilateral optic nerves and the pituitary stalk.[2] In addition, temporary clipping of the proximal anterior cerebral artery, partially excising the aneurysmal sac, and removing the intraluminal thrombus helped in applying the clip to the neck of large thrombosed intrasellar aneurysm.