The authors present a case of giant serpentine aneurysm (a partially thromb
osed aneurysm containing tortuous vascular channels with a separate entranc
e and outflow pathway). Giant serpentine aneurysms form a subgroup of giant
intracranial aneurysms, distinct from saccular and fusiform varieties, and
in this case, too, the clinical presentation and radiographic features of
CT, MR imaging angiography were distinct.