Our patient is a 56-year-old, right-handed woman who presented with a large right-MCA aneurysm and several small left-MCA aneurysms. Her right-MCA aneurysm was successfully surgically repaired; no operative intervention was required for the left aneurysms. In addition to transient sensory and motor deficits, her son noted that after the surgery she would report seeing a woman and a black cat. She had no previous visual dysfunction, although, interestingly, her insight into the CVH improved even before medication treatment. Our patient returned 3 weeks later with new hemorrhages in her right-MCA area, with ischemia. No new surgeries were performed, and her condition stabilized after 1 week with appropriate medical intervention. During this admission, her CVHs persisted, and the authors were consulted because of her “behavioral disturbances.” There was no apparent association between the hallucinations and sleep or time of day. There were no reports of complex partial or generalized seizures. Per her son's report, she had no previous history of psychiatric illness, visual hallucinations, or auditory hallucinations. She had no history of substance abuse. She did not have fluctuating awareness or alertness; she had a Richmond Agitation And Sedation Scale score of 0 and 26/30 on the Mini-Mental State Exam. Risperidone 1.5 mg/day was prescribed in an attempt to treat her CVHs, which resolved within 7 days of initiating treatment.