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Anterior choroidal syndrome, comprising hemiplegia, hemianesthesia, and hemianopsia, conveys a substantial morbidity. This problem is seen in the setting of AChA sacrifice and may be viewed in a delayed way after clipping. Anterior choroidal problem is of uncertain etiology but is involving AChA infarction. This patient presented with tinnitus and ended up being discovered to possess an incidental supraclinoid ICA aneurysm with AChA originating from the