Giant aneurysms act by means of their size as space-occupying esions whereas subarachnoid hemorrhage is rare. Depending on heir size and location the huge saccular or fusiform aneurysms f the posterior circulation manifest with varying neurological igns which result from direct compression on the cranial nerves, erebellum or the brainstem. The syndromes of cruciate paralysis nd ‘hemiplegia cruciata’ are uncommon clinical manifestations of eurological compromise at the cervicomedullary junction [1,2]. hough varied symptomatology of vertebrobasilar aneurysms is nown, there is no report till date of posterior circulation aneurysm resenting with hemiplegia cruciata.
