Intracranial aneurysm is one of the commonest vascular abnormalites requiring early atenton. Management of intracranial aneurysm is challenging both for the anaesthetst and surgeon because, almost all the cerebral aneurysm present with SAH. A retrospectve study of outcome of anaesthesia in microsurgical clipping that took place between January 2007 to January 2009 was carried out. A total of 25 patents have had their aneurysm clipped during this period, out of which 22 had good outcome one severely disabled and two died. The anaesthetc outcome in our setng was satsfactory and comparable to that of other centre. Key words: Anaesthesia, Cerebral aneurysm, Cerebral vasospasm, Subarachnoid hemorrhage