Clinical Presentation and Treatment Options for Giant Aneurysms: A Case Series in a Low/Middle-Income Setting

Introduction: Giant intracranial aneurysms (GIAs), although a rare occurrence (3–5%) has always been a surgical challenge with high morbimortality in neurosurgery. Although endovascular procedures have become an asset in tackling the issue, it comes with limitations, especially those related to financial resources. In low/middle-income countries, endovascular procedures may not be readily available for emergencies or the patient may be subject to long waits and potentially risky hospital transfers, making surgical management imperative.