Intracranial aneurysm rupture can cause potentially devastating subarachnoid hemorrhage, and the standard of care for treatment has been dominated by endovascular therapy (EVT) in recent years. The most common complication of these treatments include acute stroke by thromboembolic mechanism and intraoperative rupture. Delayed non-ischemic cerebral enhancing (NICE) lesions is a much rarer complication of EVT [
1,
2], potentially due to foreign body emboli and subsequent granulomatous reaction [
3]. Here, we present a case of NICE lesions presenting as a stroke mimic. …