A 56-year-old patient presents with persistent headache, fever, right-sided ptosis, and marked neutrophilic leukocytosis. Imaging reveals sphenoid sinusitis with bony destruction, complicated by a pseudoaneurysm of the right internal carotid artery. Confronted with this rare and complex association of infection and vascular pathology, the team opted for treatment with a flow-diverter stent. Watch the e-poster to discover how the team navigated the simultaneous management of these two high-risk conditions.