174 S.D. Kang Fig. 1. Computed tomographic scanning demonstrates extensive hemorrhage spreading around the both Sylvian, basal, and inter- hemispheric cistern. Fig. 2. A digital subtraction angiogram reveals a saccular aneu- rysm on the anterior communicating artery. A B Fig. 3. Three months after surgery, a follow-up magnetic resonance imaging demonstrates infarction of the left medial occipital lobe (A) and lacunar infarction of the pons (B). Twenty days later, ventriculo-peritoneal shunting was done due to communicating hydrocephalus. Her left pupil dec- reased to 3 mm in size but did not react to direct or indirect light. There were still limitations of ocular movements of both eyes. As her consciousness began to improve slowly after shunt- ing over a period of weeks, it was noted that she was unable to open her both eyes, indicating bilateral ptosis. At this point, the author came to recognize these events and finally con- firmed external ophthalmoplegia of the right eye and com- plete ophthalmoplegia of the left eye. Three months after surgery, follow-up magnetic resonance imaging (MRI) demon- strated infarction of left medial occipital lobe and lacunar infarction of the pons (Fig. 3). The final examination per- formed in one year showed that the patient communicated well with simple words, and that the left arm and leg rema-